Individual
LONDON BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3310 MARKET ST STE B, CAMP HILL, PA 17011-4460
(717) 412-4154
(717) 409-8635
Mailing address
3310 MARKET ST STE B, CAMP HILL, PA 17011-4460
(717) 412-4154
(717) 409-8635
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN308715
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN308715
STATE DEPARTMENT
PA
Enumeration date
06/04/2019
Last updated
06/04/2019
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