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Individual

ERICA D BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
400 N MOUNT ZION RD, LEBANON, IN 46052-9497
(756) 335-0123
(765) 335-0127
Mailing address
2705 N LEBANON ST STE 305, LEBANON, IN 46052-8622

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7100588A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300027406
IN
Enumeration date
11/07/2015
Last updated
04/02/2020
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