Provider Demographics
NPI:1083482764
Name:MASTERS, LAWREN BAYLEIGH (SBD)
Entity Type:Individual
Prefix:MS
First Name:LAWREN
Middle Name:BAYLEIGH
Last Name:MASTERS
Suffix:
Gender:F
Credentials:SBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SHERWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RENSSELAER
Mailing Address - State:NY
Mailing Address - Zip Code:12144-3210
Mailing Address - Country:US
Mailing Address - Phone:518-903-1204
Mailing Address - Fax:
Practice Address - Street 1:7 SHERWOOD AVE
Practice Address - Street 2:
Practice Address - City:RENSSELAER
Practice Address - State:NY
Practice Address - Zip Code:12144-3210
Practice Address - Country:US
Practice Address - Phone:518-903-1204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula