| Doctor Name: | LAUREN E. BAKKE |
| NPI Number: | 1376788638 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN |
| License Number: | 056068-21 |
| Business Practice Address: | 1090 Arnold Drive 19 Mdos/sgokp Little Rock Afb, AR - 720994933 |
| Business Phone Number: | 5019877493 |
| Business Fax Number: | 5019877424 |
| Mailing Address: | 1090 Arnold Drive, 19 Mdos/sgokp LITTLE ROCK AFB |
| State: | AR |
| Postal Code: | 720994933 |
| Phone Number: | 5019877493 |
| Fax Number: | 5019877424 |
| NPI Enumeration Date: | 12/15/2008 |
| NPI Last Update Date: | 12/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0101X |
| License Number: | 056068-21 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Women's Health Care, Ambulatory |
| Taxonomy Definition: | |