Provider Demographics
NPI:1346787439
Name:BAKER, HANNAH (RD, LD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 68TH DR
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-6121
Mailing Address - Country:US
Mailing Address - Phone:806-333-2231
Mailing Address - Fax:
Practice Address - Street 1:3805 22ND PL
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1117
Practice Address - Country:US
Practice Address - Phone:806-687-5670
Practice Address - Fax:806-687-5673
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-26
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84380133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered