Individual
DR. TIM Y. BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 SAINT PATRICK ST, LAFAYETTE, LA 70506-4500
(337) 261-5151
Mailing address
PO BOX 61950, LAFAYETTE, LA 70596-1950
(337) 261-5151
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
05301R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1339474
—
LA
Enumeration date
10/04/2005
Last updated
03/10/2008
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