Individual
LISA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN, IBCLC
Contact information
Practice address
1070 HECKLE BLVD, ROCK HILL, SC 29732-2853
(803) 909-7300
(803) 909-7397
Mailing address
625 WILDWOOD DR, ROCK HILL, SC 29730-8974
(803) 909-7300
(803) 909-7397
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
388
SC
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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