Individual
LOLA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3076 GULF BREEZE PKWY, GULF BREEZE, FL 32563-3246
(305) 336-8536
Mailing address
112 HOBSON AVE, CRESTVIEW, FL 32539-6767
(305) 336-8536
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA104183
FL
Other
Enumeration date
12/21/2023
Last updated
12/22/2023
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