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Individual

MRS. LAUREN MARIE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
Mailing address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024171660
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0024171660
VA
Enumeration date
04/18/2014
Last updated
12/08/2020
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