Provider Demographics
NPI:1922000983
Name:BAKER, LAWRENCE ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:ARTHUR
Last Name:BAKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 W JANSS RD
Mailing Address - Street 2:STE 250
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-1864
Mailing Address - Country:US
Mailing Address - Phone:805-497-7508
Mailing Address - Fax:805-495-6834
Practice Address - Street 1:227 W JANSS RD
Practice Address - Street 2:STE 250
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-1864
Practice Address - Country:US
Practice Address - Phone:805-497-7508
Practice Address - Fax:805-495-6834
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG28918207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA43912Medicare UPIN