DR. LISA ANNE BAIRD, D.O. - NPI NUMBER 1316118953

Summary

Provider Name: DR. LISA ANNE BAIRD, D.O.

NPI Number: 1316118953

Clasification: Family Medicine (207QA0401X)

Specialization: Addiction Medicine

Address:
3441 PEACH ST
STE C
ERIE, PA
ZIP 16508

Phone Number: (814) 864-1723



Detailed Information

DR. Lisa Anne Baird, D.O. is an addiction family physician in Erie, PA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. The assigned NPI number for this provider is 1316118953 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

3441 PEACH ST
STE C
ERIE, PA
ZIP 16508-794
Phone: (814) 864-1723
Fax: (814) 864-1876

The enumeration date for this NPI number is 3/21/2008 and was last updated on 7/29/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207QA0401X Family Medicine Addiction Medicine OS014341 PA No
2 208D00000X General Practice OS014341 PA Yes

NPI Record

No. Field Name Field Value
1 NPI 1316118953
2 Entity Type Code 1
3 Provider Last Name Legal Name BAIRD
4 Provider First Name LISA
5 Provider Middle Name ANNE
6 Provider Name Prefix Text DR.
7 Provider Credential Text D.O.
8 Provider First Line Business Practice Location Address 3441 PEACH ST
9 Provider Second Line Business Practice Location Address STE C
10 Provider Business Practice Location Address City Name ERIE
11 Provider Business Practice Location Address State Name PA
12 Provider Business Practice Location Address Postal Code 165082794
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 8148641723
15 Provider Business Practice Location Address Fax Number 8148641876
16 Provider Enumeration Date 3/21/2008
17 Last Update Date 7/29/2013
18 Provider Gender Code F
19 Healthcare Provider Taxonomy Code 1 207QA0401X
20 Provider License Number 1 OS014341
21 Provider License Number State Code 1 PA
22 Healthcare Provider Primary Taxonomy Switch 1 N
23 Healthcare Provider Taxonomy Code 2 208D00000X
24 Provider License Number 2 OS014341
25 Provider License Number State Code 2 PA
26 Healthcare Provider Primary Taxonomy Switch 2 Y
27 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.