Individual
LAWRENCE VERNON BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 HIGHWAY 78 E, MED ARTS TOWER STE 502, JASPER, AL 35501-8907
(205) 221-4916
(205) 221-4939
Mailing address
3400 HIGHWAY 78 E, MED ARTS TOWER STE 502, JASPER, AL 35501-8907
(205) 221-4916
(205) 221-4939
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7350
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528300590
—
AL
Enumeration date
10/18/2006
Last updated
07/08/2007
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