| Doctor Name: | DR. LARRY DEAN BAKER |
| NPI Number: | 1073557484 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED.D. |
| License Number: | |
| Business Practice Address: | 3756 Us Hwy 64 E Alternate Suite 10 Murphy, NC - 289066802 |
| Business Phone Number: | 8288357002 |
| Business Fax Number: | 8288357011 |
| Mailing Address: | Po Box 133, MURPHY |
| State: | NC |
| Postal Code: | 289060133 |
| Phone Number: | 8288357002 |
| Fax Number: | 8288357011 |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 02/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |