Lisa Marie Baclawski, MD
Lisa Marie Baclawski, MD is an Obstetrics/Gynecology in Ithaca, New York. Qualified in 2009, 17 years ago. Practices with Northeastern Vermont Regional Hospital Inc, a 105-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 17
- Licensed in
- NY
- In the registry since
- 2011
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
20 Arrowood DrIthaca, NY 14850-1869
Phone: (607) 266-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence 270056 (NY) |
|---|
Record details
| NPI number | 1730486945 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | February 24, 2011 |
| Last updated in NPPES | August 17, 2021 |
| Certification date | August 17, 2021 |
Medicare enrollment
| Medicare specialty | OBSTETRICS/GYNECOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | Northeastern Vermont Regional Hospital Inc — 105 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Ithaca
-
Kenneth Leon Dean Jr., DO
20 Arrowood Dr, Ithaca, NY 14850 · (607) 266-7800
-
Every Woman's Care, PLLC
302 W Seneca St, Ithaca, NY 14850-4130 · (607) 272-0200
-
Dr. Rudolph Peter Fedrizzi, MD
302 W Seneca St, Ithaca, NY 14850-4130 · (607) 272-0200
-
Kathleen E Gardner, MD
20 Arrowood Dr, Ithaca, NY 14850-1857 · (607) 266-7800