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Individual
LYNETTE N BAKER
Active
Individual
LYNETTE N BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11607
TN
363LF0000X
Family Nurse Practitioner
Primary
559025
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204693001
—
TX
05
—
204693002
—
TX
05
—
3641817
—
TN
Enumeration date
08/23/2006
Last updated
11/17/2009
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