Lisa Marie Baker, RD,LD
Individual provider Active NPI Registered Dietitian · Beachwood, OH
NPI 1386287498 · NPPES record last updated Oct 21, 2019
Key facts
- NPI
- 1386287498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 720113 (OH)
- Practice address
- 25201 Chagrin Blvd Ste 190
Beachwood, OH 44122-5633 - Phone
- (216) 378-2050
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 720113 | OH | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 720113 | OH | Yes |
Addresses
Primary practice location
25201 Chagrin Blvd Ste 190
Beachwood, OH 44122-5633
Mailing address
7240 Auburn Rd
Painesville, OH 44077-9724
Phone (216) 390-5050
Other providers in Beachwood, OH
- Juan Sebastian Baez Desangles
- David Alex Bailey
- David J Bailey
- Elvira L Bailey
- Jill C. Baird
- Marc Baker
- Veronica K Baker
- Baljit S Bal
- Balance Solutions Physical Therapy Inc
- Allison Baldwin
All providers in Beachwood, OH · Registered Dietitian in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.