Individual
MS. LORELLE LAYDEN BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
1288 NORTHSIDE RD, ELIZABETH CITY, NC 27909-8526
(252) 457-5668
(757) 953-6439
Mailing address
1288 NORTHSIDE RD, ELIZABETH CITY, NC 27909-8526
(252) 457-5668
(757) 953-6439
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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