DR. Lisa Marie Baines, DMD
NPI #1679766638 in Springfield, Illinois
Provider Information
- NPI Number
- 1679766638
- Entity Type
- Individual
- Name
- DR. Lisa Marie Baines, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Aug 23, 2007
- Last Updated
- Nov 1, 2013
Practice Location
- Address
- 1905 MONTANA DR
- Address 2
- SUITE 30
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-7008
- Phone
- (217) 698-9300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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