Provider Demographics
NPI:1558607655
Name:BAKER, LAURA C (MGC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:C
Last Name:BAKER
Suffix:
Gender:F
Credentials:MGC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:C
Other - Last Name:HUTCHINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCGC
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:DE
Mailing Address - Zip Code:19732-0191
Mailing Address - Country:US
Mailing Address - Phone:302-651-6212
Mailing Address - Fax:302-665-1494
Practice Address - Street 1:1600 ROCKLAND RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3607
Practice Address - Country:US
Practice Address - Phone:302-651-6212
Practice Address - Fax:302-651-4945
Is Sole Proprietor?:No
Enumeration Date:2012-12-17
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECG-0000022170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS