Individual
LAURA ELIZABETH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 COURTENAY DR, CHARLESTON, SC 29425-4001
(843) 792-2322
Mailing address
167 ASHLEY AVE, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
27656
SC
Other
Enumeration date
01/10/2023
Last updated
07/15/2024
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