Individual
LACEY ANDERSON BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSP, LD, CNSC
Contact information
Practice address
5 TAMPA GENERAL CIR, TAMPA, FL 33606-3601
(813) 844-7473
(813) 844-1966
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-8927
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7706
OH
Other
Enumeration date
07/07/2015
Last updated
03/17/2018
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