Provider Demographics
NPI:1316118953
Name:BAIRD, LISA ANNE (DO)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:ANNE
Last Name:BAIRD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3219 WOODLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16510-1964
Mailing Address - Country:US
Mailing Address - Phone:814-504-1071
Mailing Address - Fax:
Practice Address - Street 1:10745 PENNSYLVANIA 18
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:PA
Practice Address - Zip Code:16475-1828
Practice Address - Country:US
Practice Address - Phone:814-756-5778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-21
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014341208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice