Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 480 | NC |
N | 222Z00000X | Podiatrist | 480 | NC |
N | 213EP0504X | Public Medicine | 480 | NC |
N | 213EP1101X | Primary Podiatric Medicine | 480 | NC |
N | 111NR0200X | Radiology | 480 | NC |
N | 213ER0200X | Radiology | 480 | NC |
N | 2081S0010X | Sports Medicine | 480 | NC |
N | 213ES0000X | Sports Medicine | 480 | NC |
Y | 213ES0103X | Foot & Ankle Surgery | 480 | NC |
N | 213ES0131X | Foot Surgery | 480 | NC |
NPI | 1750360129 |
---|---|
Provider Name | Dr. Lawanda F Bailey-Rayner |
First Address | Holly Springs, NC 27540-7584 |
Second Address | Holly Springs, NC 27540-7584 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2006 |
Last Update Date | 06/03/2014 |