Individual
LACIE ALISON BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
196 HILLVIEW ST, DICKSON, TN 37055-1285
(615) 740-0080
Mailing address
4022 MILES JOHNSON PKWY, SPRING HILL, TN 37174-6415
(615) 740-0080
(615) 467-8797
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1665
TN
363AS0400X
Surgical Physician Assistant
Primary
1665
TN
363AS0400X
Surgical Physician Assistant
Primary
1684
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4266963
BCBS
TN
01
—
4266994
BCBS
TN
Enumeration date
11/13/2008
Last updated
03/17/2026
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