Provider Demographics
NPI:1780807420
Name:BAAS, LISA PILAR (LOM)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:PILAR
Last Name:BAAS
Suffix:
Gender:F
Credentials:LOM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:860 BROAD ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-3630
Mailing Address - Country:US
Mailing Address - Phone:610-967-0515
Mailing Address - Fax:435-417-7273
Practice Address - Street 1:860 BROAD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-3630
Practice Address - Country:US
Practice Address - Phone:610-967-0515
Practice Address - Fax:435-417-7273
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOM000054171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist