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NPI Code Detail

MEDICARE: DR. LAURYN BATES MD

MEDICARE: DR. LAURYN BATES 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
1390200000XStudent in an Organized Health Care Education/Training ProgramMD

General Provider Information

NPI Number : 1154264448
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURYN BATES MD
Provider Business Mailing Address
First Line : 2001 MEDICAL PKWY
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3773
Country : US
Telephone Number : 443-481-5543
Fax Number :
Provider Business Practice Location Address
First Line : 2001 MEDICAL PKWY
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3773
Country : US
Telephone Number : 443-481-5543
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2026
Last Update Date : 04/11/2026

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