Provider Demographics
NPI:1730208125
Name:BYERS-BABINEAU, LORI D'ANN (DMD)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:D'ANN
Last Name:BYERS-BABINEAU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6404 LADERA NORTE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-2614
Mailing Address - Country:US
Mailing Address - Phone:512-231-0027
Mailing Address - Fax:
Practice Address - Street 1:3801 N CAPITAL OF TEXAS HWY
Practice Address - Street 2:SUITE E 280
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-1416
Practice Address - Country:US
Practice Address - Phone:512-306-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16760122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist