Organization
FOOT CARE SPECIALIST , PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWANDA F BAILE RAYNER DPM (MEMBER)
(919) 557-0300
Entity
Organization
Contact information
Practice address
1140 HOLLY SPRINGS, SUITE 107, HOLLY SPRINGS, NC 27540-7584
(919) 557-0300
(919) 567-0306
Mailing address
1140 HOLLY SPRINGS RD, SUITE 107, HOLLY SPRINGS, NC 27540-9634
(919) 342-7094
(919) 400-4355
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
480
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903259
—
NC
Enumeration date
06/17/2006
Last updated
03/19/2012
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