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NPI Code Detail

MEDICARE: DR. LAURIE M BAYNARD DC

MEDICARE: DR. LAURIE M BAYNARD DC
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 : 1508138793
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURIE M BAYNARD DC
Provider Business Mailing Address
First Line : 1210 E MCNEESE ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70607-4756
Country : US
Telephone Number : 337-528-4852
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 : 337-528-4852
Fax Number : 337-479-2391
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2012
Last Update Date : 02/02/2012

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

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