Individual
LISA SUSAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPIAL SURGERY DEPT, HARTFORD, CT 06102-5037
(860) 545-2840
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 00224-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
001890
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
001890
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004018908
—
CT
Enumeration date
09/12/2006
Last updated
08/12/2010
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