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MR. HORACE LANNIS BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
5731 WELLS FARGO DR, COLORADO SPRINGS, CO 80918-5219
(719) 532-0289
Mailing address
5731 WELLS FARGO DR, COLORADO SPRINGS, CO 80918-5219
(719) 526-7120

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
1227
SC

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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