MEDICARE: DR. LORI D'ANN BYERS-BABINEAU D.M.D.

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	122300000X	Dentist	16760	TX

General Provider Information

NPI Number	:	1730208125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI D'ANN BYERS-BABINEAU D.M.D.

Provider Business Mailing Address
First Line	:	6404 LADERA NORTE
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-2614
Country	:	US
Telephone Number	:	512-231-0027
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 N CAPITAL OF TEXAS HWY
Second Line	:	SUITE E 280
City	:	AUSTIN
State	:	TX
Zip	:	78746-1416
Country	:	US
Telephone Number	:	512-306-8900
Fax Number	:

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/08/2007

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