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NPI Code Detail

MEDICARE: LAURA L BAKER MS, APRN, BC

MEDICARE: LAURA L BAKER MS, APRN, BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner2004000962MO

General Provider Information

NPI Number : 1760462113
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA L BAKER MS, APRN, BC
Provider Business Mailing Address
First Line : PO BOX 931300
Second Line :
City : KANSAS CITY
State : MO
Zip : 64193-1300
Country : US
Telephone Number : 816-461-8288
Fax Number : 816-461-6586
Provider Business Practice Location Address
First Line : 2121 SUMMIT ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-2126
Country : US
Telephone Number : 816-471-0900
Fax Number : 816-461-6586
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 07/08/2007

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