Individual
DR. STEPHEN LEWIS BAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
114 E FRONT ST, LONOKE, AR 72086-3235
(501) 676-6844
(501) 676-3910
Mailing address
114 E FRONT ST, LONOKE, AR 72086-3235
(501) 676-6844
(501) 676-3910
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2420
AR
207W00000X
Ophthalmology Physician
2420
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123712622
—
AR
05
—
123812722
—
AR
01
—
15531000041
QUALCHOICE
—
01
—
15531000042
QUALCHOICE
AR
01
—
410043619
RR MEDICARE
—
01
—
5555041
AETNA
—
Enumeration date
06/14/2006
Last updated
10/23/2008
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