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NPI Code Detail

MEDICARE: LAWRENCE RAY BARNES MD

MEDICARE: LAWRENCE RAY BARNES 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
1207Q00000XFamily Medicine PhysicianMD9267OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MD9267OTHERORSTATE LICENSE

General Provider Information

NPI Number : 1932174539
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE RAY BARNES MD
Provider Business Mailing Address
First Line : 1375 N 10TH AVE
Second Line : SUITE B
City : STAYTON
State : OR
Zip : 97383-2099
Country : US
Telephone Number : 503-769-7546
Fax Number : 503-769-8563
Provider Business Practice Location Address
First Line : 1375 N 10TH AVE
Second Line : SUITE B
City : STAYTON
State : OR
Zip : 97383-2099
Country : US
Telephone Number : 503-769-7546
Fax Number : 503-769-8563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 03/20/2015

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