Individual provider · Type 1 NPI
Timothy Lewis Baum, CRNP
Gerontology Nurse Practitioner · Lancaster, PA
NPI number
1508874199
Active
Practice location
1861 Charter Ln Ste 118
Lancaster, PA 17601-5859
Fax (717) 290-1104
Mailing address
111 E Marion St
Lititz, PA 17543-2015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | SP005243H (PA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1508874199
Timothy Lewis Baum, CRNP's National Provider Identifier is 1508874199, issued on Aug 3, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Lancaster, PA. The record was last updated on Jul 8, 2007.