Individual
IRENE T BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1540 LAKE LANSING RD, SUITE 205, LANSING, MI 48912-3756
(517) 913-3910
(517) 913-3911
Mailing address
1540 LAKE LANSING RD, SUITE 205, LANSING, MI 48912-3756
(517) 913-3910
(517) 913-3911
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704111052
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N55170009
MEDICARE PLUS BLUE
MI
01
—
1024246
MCLAREN HEALTH ADVANTAGE
MI
05
—
1033143417
—
MI
01
—
200000001200
PHP
MI
01
—
5008769750
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
7272662
AETNA
MI
Enumeration date
07/10/2006
Last updated
08/03/2010
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