Lee Sullivan Baxter, MS, RDN, LD
Dietitian, Registered in Hoover, AL. Individual provider (NPI-1).
NPI number1982248308
StatusActive
Last updated in NPPESOct 29, 2019
Details
- NPI
- 1982248308
- Entity type
- Individual (NPI-1)
- Name
- Lee Sullivan Baxter
- Credential
- MS, RDN, LD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2019
- Last updated
- Oct 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3073 | AL | Yes |
Practice location
3829 Lorna RdHoover, AL 35244-7034
Phone 205-710-2368
Mailing address
2244 Summit PlVestavia, AL 35243-3155
Phone 859-613-4618
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