Individual
LORI R BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1106 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6124
(715) 852-0063
(715) 852-0072
Mailing address
1106 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6124
(715) 852-0063
(715) 852-0072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15627-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051.294180
REGISTERED PHARMACIST
IL
Enumeration date
10/26/2011
Last updated
05/26/2013
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