Individual
MR. LAURENCE DAVID BAUMANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4101 NW 37TH PLACE, SUITE B, DAWRIN CHIROPRACTIC CENTER, GAINESVILLE, FL 32606-6179
(352) 377-2225
(352) 373-6436
Mailing address
PO BOX 358173, GAINESVILLE, FL 32635
(386) 462-0970
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA15054
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1301
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/13/2006
Last updated
07/08/2007
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