Individual
LAUREN JORDAE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
84 THOMAS JOHNSON CT # B, FREDERICK, MD 21702-4348
(301) 662-8541
(301) 662-8762
Mailing address
2498 WAYSIDE CT, FREDERICK, MD 21702-2630
(301) 662-8541
(301) 662-8762
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
23656
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004876
UNITED HEALTHCARE
MD
01
—
551810
MAMSI
MD
Enumeration date
06/09/2011
Last updated
06/09/2011
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