Individual
LORA D. BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-0000
Mailing address
500 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903-2981
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002429
VA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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