Lisa Baum, RN, CDDN

NPI 1942788989 · on the registry since 2018

Practice

Address: 6840 78th Ave N
Brooklyn Park, MN 55445
Phone: (612) 718-6230
Organisation at this address: Gateway Recovery Center Ii, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 163W00000X
163W00000X
Also registered as: 163W00000X
Licence states on file: CA, MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-08-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota