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NPI Code Detail

MEDICARE: LENIER SEAN BAXTER

MEDICARE:   LENIER SEAN BAXTER
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1750404208
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENIER SEAN BAXTER
Provider Business Mailing Address
First Line : 333 SKYWAY DR
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-8552
Country : US
Telephone Number : 805-383-1155
Fax Number : 805-383-1134
Provider Business Practice Location Address
First Line : 333 SKYWAY DR
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-8552
Country : US
Telephone Number : 805-383-1155
Fax Number : 805-383-1134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 03/03/2025

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Directions to “ LENIER SEAN BAXTER ” Practice Location

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