Individual
MRS. LISA M. BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
37 DOCTORS PARK STE 1, CAPE GIRARDEAU, MO 63703-4903
(573) 803-2941
Mailing address
1417 N. MOUNT AUBURN, CAPE GIRARDEAU, MO 63701
(573) 803-2941
(573) 803-0815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013006307
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013006703
LICENSE NUMBER
MO
Enumeration date
12/18/2009
Last updated
11/13/2017
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