Individual
DR. LORIE M BAUMGARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1125 SW GAGE BLVD, SUITE A, TOPEKA, KS 66604-2280
(785) 272-0333
(785) 272-3169
Mailing address
1125 SW GAGE BLVD, SUITE A, TOPEKA, KS 66604-2280
(785) 272-0333
(785) 272-3169
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6655
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
481129673
FEDERAL TAX NUMBER
KS
Enumeration date
07/25/2006
Last updated
07/18/2011
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