National Provider Identifier
Lisa Marie Baclawski, M.D.
Lisa Marie Baclawski, M.D. is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Ithaca, NY and a listed phone number of (607) 266-7800.
Profile Overview
- NPI
- 1730486945
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Physician
- Enumeration Date
- February 24, 2011
- Last Updated
- August 17, 2021
Practice Location
- 20 Arrowood Dr
- Ithaca, NY 14850-1869
Phone: (607) 266-7800
Mailing Address
- 1315 Hospital Dr
- St Johnsbury, VT 05819-9210
Specialties
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1730486945
- Entity Type
- Individual
- Last Name
- Baclawski
- First Name
- Lisa
- Middle Name
- Marie
- Credential
- M.D.
- Mailing Street Address
- 1315 Hospital Dr
- Mailing City
- St Johnsbury
- Mailing State
- VT
- Mailing ZIP Code
- 05819-9210
- Mailing Country
- US
- Practice Street Address
- 20 Arrowood Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1869
- Practice Country
- US
- Practice Phone
- (607) 266-7800
- Enumeration Date
- February 24, 2011
- Last Updated
- August 17, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 17, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Obstetrics & Gynecology Physician (207V00000X)