Individual
LEAH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7448
(210) 567-5169
Mailing address
P.O. BOX 87, SAN ANTONIO, TX 78291
(210) 358-9172
(210) 358-9183
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007526
VA
363A00000X
Physician Assistant
PA10726
TX
Other
Enumeration date
09/20/2016
Last updated
01/19/2023
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