Individual
STEVEN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
4036 DUTCHMANS LN, LOUISVILLE, KY 40207-4704
(502) 895-2020
Mailing address
3801 BISHOP LN, LOUISVILLE, KY 40218-2905
(502) 897-1656
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1259
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52900271
—
KY
Enumeration date
01/16/2013
Last updated
01/16/2013
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