Individual
MS. LISA MIRANDA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
15916 CRAIN HWY, BRANDYWINE, MD 20613-8000
(301) 242-9264
Mailing address
15916 CRAIN HWY, BRANDYWINE, MD 20613-8000
(301) 242-9264
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12509
MD
Other
Enumeration date
10/23/2010
Last updated
10/23/2010
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