Provider Demographics
NPI:1174732374
Name:BAIER, LILLIAN DYKEMAN (RPH)
Entity type:Individual
Prefix:MS
First Name:LILLIAN
Middle Name:DYKEMAN
Last Name:BAIER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 NH ROUTE 12A
Mailing Address - Street 2:
Mailing Address - City:CORNISH
Mailing Address - State:NH
Mailing Address - Zip Code:03745-4133
Mailing Address - Country:US
Mailing Address - Phone:603-675-2034
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:PHARMACY DEPT
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-5593
Practice Address - Fax:603-650-4554
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH17871835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology