Individual
LISA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8430 UNIVERSITY EXEC PARK DR STE 670, CHARLOTTE, NC 28262-1300
(980) 585-1793
Mailing address
4515 CRAIGMOSS LN, CHARLOTTE, NC 28278-6672
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12914
NC
Other
Enumeration date
08/13/2014
Last updated
11/25/2019
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