Individual
LEE SULLIVAN BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
3829 LORNA RD, HOOVER, AL 35244-7034
(205) 710-2368
Mailing address
2244 SUMMIT PL, VESTAVIA, AL 35243-3155
(859) 613-4618
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3073
AL
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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