Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 36735 | AZ |
N | 207PE0004X | Emergency Medical Services | 36735 | AZ |
N | 207PE0004X | Emergency Medical Services | A94828 | CA |
NPI | 1164635264 |
---|---|
Provider Name | Lisa Marie Baron |
First Address | Scottsdale, AZ 85259-5452 |
Second Address | Scottsdale, AZ 85259-5452 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 09/10/2020 |