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DR. STEPHEN LEWIS BAUGH OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1760425854

Individual Registrant:
DR. STEPHEN LEWIS BAUGH OD
Gender: M
Sole Proprietor

Location and contact information for practice:
114 E FRONT ST  LONOKE, AR 72086-3235 US
Tel: 501-676-6844  Fax: 501-676-3910

Contact information for business:
114 E FRONT ST  LONOKE, AR 72086-3235 US
Tel: 501-676-6844  Fax: 501-676-3910

Registration Information:
NPI: 1760425854
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
AR2420
N207W00000XAllopathic & Osteopathic Physicians
Ophthalmology
AR2420

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RR MEDICARE41004361901
AETNA555504101
QUALCHOICE15531000042AR01
123712622AR05
QUALCHOICE1553100004101
123812722AR05




HEALTH CARE JOBS AR - Page 1



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