Provider Demographics
NPI:1962749226
Name:BAKER, LINDSEY K (PA-C)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:K
Last Name:BAKER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1600 2ND AVE SW STE 19
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-3459
Mailing Address - Country:US
Mailing Address - Phone:701-852-4600
Mailing Address - Fax:701-852-4644
Practice Address - Street 1:1600 2ND AVE SW STE 19
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-3459
Practice Address - Country:US
Practice Address - Phone:701-852-4600
Practice Address - Fax:701-852-4644
Is Sole Proprietor?:No
Enumeration Date:2013-01-07
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IDPA-1039363AM0700X
NDPAC0561363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical