| NPI | 1336267012 |
|---|---|
| Former Name | LAURIE J BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA07844) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 4351) |
| 363AM0700X Physician Assistant, Medical (Licence: IL 085-002366) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2023-03-29 |