Provider Demographics
NPI:1437300423
Name:BACHMAN-KARNES, LISE HELEN (MS)
Entity Type:Individual
Prefix:MS
First Name:LISE
Middle Name:HELEN
Last Name:BACHMAN-KARNES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:LISE
Other - Middle Name:HELEN
Other - Last Name:BACHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:330 S FAIRMONT AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95240-3843
Mailing Address - Country:US
Mailing Address - Phone:209-969-2537
Mailing Address - Fax:209-263-7674
Practice Address - Street 1:330 S FAIRMONT AVE STE 7
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95240-3843
Practice Address - Country:US
Practice Address - Phone:209-969-2537
Practice Address - Fax:209-263-7674
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist