Provider Demographics
NPI:1780725028
Name:BAKER, KAREN ANN (LM)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:BAKER
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35605 AVENUE D
Mailing Address - Street 2:
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-4467
Mailing Address - Country:US
Mailing Address - Phone:909-797-4580
Mailing Address - Fax:909-797-3666
Practice Address - Street 1:35605 AVENUE D
Practice Address - Street 2:
Practice Address - City:YUCAIPA
Practice Address - State:CA
Practice Address - Zip Code:92399-4467
Practice Address - Country:US
Practice Address - Phone:909-797-4580
Practice Address - Fax:909-797-3666
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM0011176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife