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NPI Code Detail

MEDICARE: LAURIE M. BAYNARD DC LLC

MEDICARE: LAURIE M. BAYNARD DC LLC
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
1111N00000XChiropractor1636LA

General Provider Information

NPI Number : 1740555812
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAURIE M. BAYNARD DC LLC
Provider Business Mailing Address
First Line : 1210 E MCNEESE ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70607-4756
Country : US
Telephone Number : 337-502-5303
Fax Number : 337-479-2391
Provider Business Practice Location Address
First Line : 1210 E MCNEESE ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70607-4756
Country : US
Telephone Number : 337-502-5303
Fax Number : 337-479-2391
Authorized Official
Title or Position : OWNER
Name : DR. LAURIE M BAYNARD
Credential : DC
Telephone Number : 337-502-5303
Provider Enumeration Date : 03/21/2012
Last Update Date : 03/21/2012

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Directions to “LAURIE M. BAYNARD DC LLC ” Practice Location

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