Individual provider · Type 1 NPI
Bannister Lee Raines Jr., MD
General Practice Physician · Baltimore, MD
NPI number
1952707903
Active
Practice location
1325 Bedford Ave Unit 21499
Baltimore, MD 21282-7525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | D0017735 (MD) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1952707903
Bannister Lee Raines Jr., MD's National Provider Identifier is 1952707903, issued on Nov 18, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Baltimore, MD. The record was last updated on Nov 18, 2014.