Basic Information
| Provider Information | |||||||||
| NPI: | 1679688956 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAKER | ||||||||
| FirstName: | LEIGH | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1778 | ||||||||
| Address2: | |||||||||
| City: | LEWISTON | ||||||||
| State: | ME | ||||||||
| PostalCode: | 042411778 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2073753024 | ||||||||
| FaxNumber: | 2073753026 | ||||||||
| Practice Location | |||||||||
| Address1: | 74 LUNT ROAD SUITE 204 | ||||||||
| Address2: | |||||||||
| City: | FALMOUTH | ||||||||
| State: | ME | ||||||||
| PostalCode: | 04105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2078467666 | ||||||||
| FaxNumber: | 2077814098 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2006 | ||||||||
| LastUpdateDate: | 08/29/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | DO1224 | ME | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 1224 | ME | N | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.