Individual
LAURA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
250 LUCIUS GORDON DR STE 2, WEST HENRIETTA, NY 14586-9662
(585) 471-3407
(866) 557-9530
Mailing address
59 CAPE HENRY TRL, WEST HENRIETTA, NY 14586-9677
(585) 415-1759
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
333407
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404278
NY
Other
Enumeration date
07/19/2006
Last updated
09/09/2023
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