Individual
LORI BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F-CNP
Contact information
Practice address
1804 W KING ST, SUITES 300-400, MARTINSBURG, WV 25401-2031
(304) 262-4525
(304) 262-4205
Mailing address
117 BOTECELLI CT, MARTINSBURG, WV 25403-7678
(304) 839-7325
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39047
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810019737
—
WV
Enumeration date
04/26/2016
Last updated
06/08/2016
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