Individual
DR. VINA S BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
602 N LEWIS AVE., SUITE 100, NEW IBERIA, LA 70563-2014
(337) 364-2822
(337) 364-1978
Mailing address
602 N LEWIS AVE, SUITE 100, NEW IBERIA, LA 70563-2014
(337) 364-2822
(337) 364-1978
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023492
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023492
STATE MEDICAL LICENSE NUM
LA
05
—
1482030
—
LA
Enumeration date
03/03/2006
Last updated
01/25/2011
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