Individual
LAELANI BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2821 N VAN BUREN ST, ENID, OK 73703-1729
(580) 213-9794
(580) 213-9795
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(580) 213-9794
(580) 213-9795
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
92385
OK
Other
Enumeration date
07/22/2014
Last updated
02/08/2018
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