Provider Demographics
NPI:1780923060
Name:BAUGH, LOURDES E (RRT, CPFT,CRT)
Entity type:Individual
Prefix:MS
First Name:LOURDES
Middle Name:E
Last Name:BAUGH
Suffix:
Gender:F
Credentials:RRT, CPFT,CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 DARTMOUTH CT
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-1516
Mailing Address - Country:US
Mailing Address - Phone:973-597-6469
Mailing Address - Fax:
Practice Address - Street 1:7 DARTMOUTH CT
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1516
Practice Address - Country:US
Practice Address - Phone:973-597-6469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ43ZA00239100227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified