Provider Demographics
NPI:1154411759
Name:KALOCZI-BAKER, LISA D (DNP FNP WHNP-BC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:D
Last Name:KALOCZI-BAKER
Suffix:
Gender:F
Credentials:DNP FNP WHNP-BC
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:D
Other - Last Name:KALOCZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 W 130TH ST
Mailing Address - Street 2:
Mailing Address - City:HINCKLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44233-9610
Mailing Address - Country:US
Mailing Address - Phone:330-225-8458
Mailing Address - Fax:330-954-1801
Practice Address - Street 1:9 W 130TH ST
Practice Address - Street 2:
Practice Address - City:HINCKLEY
Practice Address - State:OH
Practice Address - Zip Code:44233-9610
Practice Address - Country:US
Practice Address - Phone:330-225-8458
Practice Address - Fax:330-954-1801
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14379163WW0101X
OH14379NP363LW0102X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0110592Medicaid
OHH405770Medicare PIN