Individual
LACI ALAINE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 742-8387
Mailing address
1111 EAGLE MOUNTAIN DR, MESQUITE, TX 75181-4278
(214) 552-6900
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT89060
TX
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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