Individual
DR. LORELLE W. BADDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
100 HEATHERBROOKE PARK DR, SUITE A, BIRMINGHAM, AL 35242-8093
(205) 991-9535
Mailing address
100 HEATHERBROOKE PARK DR, SUITE A, BIRMINGHAM, AL 35242-8093
(205) 991-9535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AL4899
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL4899
DENTAL LIC. STATE
AL
Enumeration date
02/01/2007
Last updated
07/08/2007
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