Individual
MRS. LISA MARIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
25201 CHAGRIN BLVD STE 190, BEACHWOOD, OH 44122-5633
(216) 378-2050
Mailing address
7240 AUBURN RD, PAINESVILLE, OH 44077-9724
(216) 390-5050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
720113
OH
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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