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NPI Code Detail

MEDICARE: LORI R BAKER PHARM.D.

MEDICARE: LORI R BAKER PHARM.D.
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
1183500000XPharmacist15627-40WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1051.294180OTHERILREGISTERED PHARMACIST

General Provider Information

NPI Number : 1487930087
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI R BAKER PHARM.D.
Provider Business Mailing Address
First Line : 1106 W CLAIREMONT AVE
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-6124
Country : US
Telephone Number : 715-852-0063
Fax Number : 715-852-0072
Provider Business Practice Location Address
First Line : 1106 W CLAIREMONT AVE
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-6124
Country : US
Telephone Number : 715-852-0063
Fax Number : 715-852-0072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2011
Last Update Date : 05/26/2013

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Directions to “ LORI R BAKER PHARM.D.” Practice Location

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