| Doctor Name: | LISA BAKER |
| NPI Number: | 1114332814 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P.-C |
| License Number: | AP125820 |
| Business Practice Address: | 228 Saint George St Gonzales, TX - 786293910 |
| Business Phone Number: | 8306726511 |
| Business Fax Number: | 8306726430 |
| Mailing Address: | 228 Saint George St, P.o. Box 1890 GONZALES |
| State: | TX |
| Postal Code: | 786293910 |
| Phone Number: | 8306726511 |
| Fax Number: | 8306726430 |
| NPI Enumeration Date: | 06/23/2014 |
| NPI Last Update Date: | 06/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP125820 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |