Provider Demographics
NPI:1750360129
Name:BAILEY-RAYNER, LAWANDA F (DPM)
Entity type:Individual
Prefix:DR
First Name:LAWANDA
Middle Name:F
Last Name:BAILEY-RAYNER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1140 HOLLY SPRINGS ROAD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-7584
Mailing Address - Country:US
Mailing Address - Phone:919-557-0306
Mailing Address - Fax:
Practice Address - Street 1:1140 HOLLY SPRINGS ROAD
Practice Address - Street 2:SUITE 107
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-7584
Practice Address - Country:US
Practice Address - Phone:919-557-0300
Practice Address - Fax:919-567-0306
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC480213ES0103X, 213EP1101X, 213E00000X, 213EP0504X, 213ER0200X, 213ES0000X, 211D00000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP0504XPodiatric Medicine & Surgery Service ProvidersPodiatristPublic Medicine
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
No211D00000XPodiatric Medicine & Surgery Service ProvidersAssistant, Podiatric
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery