person
Dr. Bannister Lee Raines JR., MD
General Practice Physician in Baltimore, Maryland
NPI 1952707903

Bannister Lee Raines JR. is a General Practice Physician based in Baltimore, MD. Bannister Lee Raines JR. practices in Baltimore, MD and has the professional credentials of MD. The NPI Number for Bannister Lee Raines JR. is 1952707903 and holds a License No. D0017735 (Maryland).

The current practice location address for Bannister Lee Raines JR. is 1325 Bedford Ave Unit 21499, Baltimore, MD and can be reached out via phone at 443-415-7170.

Location: 1325 Bedford Ave Unit 21499, Baltimore, MD, 21282-7525
person
Provider Profile Details
NPI Number
1952707903
Provider Name
Bannister Lee Raines JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1325 Bedford Ave Unit 21499, Baltimore, MD, 21282-7525
Phone Number
443-415-7170
Fax Number
Provider Enumeration Date
11/18/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1325 Bedford Ave Unit 21499
City
State
Zip
21282-7525
Phone Number
443-415-7170
Fax Number
person
Provider Business Mailing Address Details
Address
1325 Bedford Ave Unit 21499
City
State
Zip
21282-7525
Phone Number
443-415-7170
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
D0017735 (Maryland)
Definition
Definition to come...
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