Lauren J. Baskin
Individual provider Active NPI Specialist · Huntsburg, OH
NPI 1720209513 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720209513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 12605 Boggy Creek Dr.
Huntsburg, OH 44046 - Phone
- (440) 635-0061
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
12605 Boggy Creek Dr.
Huntsburg, OH 44046
Mailing address
P. O . Box 442
East Claridon, OH 44033-0442
Phone (440) 635-0061
Other providers in Huntsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.