Individual
DR. TERRY RICHARD BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2300 SAGAMORE PARKWAY S, LAFAYETTE, IN 47904
(765) 471-1515
(765) 471-1453
Mailing address
2300 SAGAMORE PARKWAY S, LAFAYETTE, IN 47904
(765) 471-1515
(765) 471-1453
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
18001878A
IN
Other
Enumeration date
02/07/2007
Last updated
06/05/2008
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