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NPI Code Detail

MEDICARE: MRS. LYNNE ALISON BAKER HIS

MEDICARE: MRS. LYNNE ALISON BAKER HIS
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
1237700000XHearing Instrument Specialist0539SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10539OTHERSCHIS

General Provider Information

NPI Number : 1669968392
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LYNNE ALISON BAKER HIS
Provider Business Mailing Address
First Line : 1565 SAM RITTENBERG BLVD
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-4138
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1565 SAM RITTENBERG BLVD
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-4138
Country : US
Telephone Number : 843-571-0744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2018
Last Update Date : 07/05/2018

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