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NPI Code Detail

MEDICARE: MS. LILLIAN DYKEMAN BAIER RPH

MEDICARE: MS. LILLIAN DYKEMAN BAIER RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835X0200XOncology Pharmacist1787NH

General Provider Information

NPI Number : 1174732374
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LILLIAN DYKEMAN BAIER RPH
Provider Business Mailing Address
First Line : 1118 NH ROUTE 12A
Second Line :
City : CORNISH
State : NH
Zip : 03745-4133
Country : US
Telephone Number : 603-675-2034
Fax Number :
Provider Business Practice Location Address
First Line : 1 MEDICAL CENTER DR
Second Line : PHARMACY DEPT
City : LEBANON
State : NH
Zip : 03756-1000
Country : US
Telephone Number : 603-650-5593
Fax Number : 603-650-4554
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 07/08/2007

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