Provider Demographics
NPI:1154747111
Name:BAKER-ROYER, CARRIE ARLENE (DO)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:ARLENE
Last Name:BAKER-ROYER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 SHARP LANE
Mailing Address - Street 2:
Mailing Address - City:STERLINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:71280
Mailing Address - Country:US
Mailing Address - Phone:318-665-9950
Mailing Address - Fax:318-665-0379
Practice Address - Street 1:STERLINGTON RURAL HEALTH CLINIC
Practice Address - Street 2:10374 HWY 165 N SUITE D
Practice Address - City:STERLINGTON
Practice Address - State:LA
Practice Address - Zip Code:71280
Practice Address - Country:US
Practice Address - Phone:318-665-4543
Practice Address - Fax:318-665-0379
Is Sole Proprietor?:No
Enumeration Date:2014-03-13
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
LA312359208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program