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1043742562

NPI Code Detail

MEDICARE: DR. ANNA LANE BALDWIN MD

MEDICARE: DR. ANNA LANE BALDWIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	169761	CA
2	208000000X	Pediatrics Physician	MD2024-0913	NM
3	208000000X	Pediatrics Physician	2026-01165	NC
4	390200000X	Student in an Organized Health Care Education/Training Program
5	208000000X	Pediatrics Physician	MD206029	OR
6	208000000X	Pediatrics Physician	A169761	CA

General Provider Information

NPI Number	:	1043742562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNA LANE BALDWIN MD

Provider Business Mailing Address
First Line	:	4650 W SUNSET BLVD
Second Line	:	MAILSTOP #94
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6062
Country	:	US
Telephone Number	:	323-361-8893
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 N ELM ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1004
Country	:	US
Telephone Number	:	336-832-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2017
Last Update Date	:	04/08/2026

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Directions to “ DR. ANNA LANE BALDWIN MD” Practice Location

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