Provider Demographics
NPI:1316298052
Name:BAGGS, LORRIE E (MA)
Entity type:Individual
Prefix:
First Name:LORRIE
Middle Name:E
Last Name:BAGGS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1528 COMMON ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3337
Mailing Address - Country:US
Mailing Address - Phone:830-643-0033
Mailing Address - Fax:830-643-0350
Practice Address - Street 1:136 OLD SAN ANTONIO RD
Practice Address - Street 2:SUITE 205
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-3413
Practice Address - Country:US
Practice Address - Phone:830-609-9056
Practice Address - Fax:830-331-8145
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51204237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist