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NPI Profile for LAWRENCE A BACON in KERNERSVILLE, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1376211193 |
|
| Status | Active | |
| Credentials | LCASA, LCMHCA | |
| Entity | Individual | |
| Enumeration date | 09/06/2021 | |
| Last updated | 03/11/2026 - About 3 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LAWRENCE A BACON
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LAWRENCE A BACON, LCASA, LCMHCA