MEDICARE: BRITTANY D BAUR

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
1	174N00000X	Lactation Consultant (Non-RN)	L-307513	NC

General Provider Information

NPI Number	:	1710610381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY D BAUR

Provider Business Mailing Address
First Line	:	2732 BERKHAMSTEAD CIR
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-0224
Country	:	US
Telephone Number	:	704-793-8653
Fax Number	:

Provider Business Practice Location Address
First Line	:	2732 BERKHAMSTEAD CIR
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-0224
Country	:	US
Telephone Number	:	704-793-8653
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2022
Last Update Date	:	07/01/2022

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Directions to “ BRITTANY D BAUR ” Practice Location

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