NPI 1336724541 · live from the CMS NPI Registry
Selena Lauren Baker, RDN, LD
Dietitian, Registered in Lafayette, IN. National Provider Identifier 1336724541, active.
NPI record
| NPI | 1336724541 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 5165 Mccarty Ln, Lafayette, IN 47905 |
| Practice phone | 765-838-7493 |
| Mailing address | 1808 Perrine St, Lafayette, IN 47904 |
| Enumerated | March 10, 2021 |
| Last updated | March 10, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 37003070A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.