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NPI Code Detail

MEDICARE: LAUREN ELIZABETH BAUMGARDNER D.O.

MEDICARE: LAUREN ELIZABETH BAUMGARDNER D.O.
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
1208000000XPediatrics Physician34.015242OH
22080H0002XPediatric Hospice and Palliative Medicine Physician2022-00954NC
3207R00000XInternal Medicine Physician34.015242OH

General Provider Information

NPI Number : 1457882623
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ELIZABETH BAUMGARDNER D.O.
Provider Business Mailing Address
First Line : 1308 CRANFORD AVE
Second Line :
City : LAKEWOOD
State : OH
Zip : 44107-2310
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 MANNING DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-4220
Country : US
Telephone Number : 984-974-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2017
Last Update Date : 03/06/2024

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