Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACQUELINE J. BAE, MD
ActiveNutrition, Education · LAKEPORT, CA
Registration Details
- NPI Number
- 1245521749
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2011 (15.011056082659 yrs)
- Last Updated
- May 2, 2011
Practice Information
- Address
-
925 BEVINS CTLAKEPORT, CA, 954539754Browse CA providers · Browse ZIP 95453
- Phone
- 7072638382
- Fax
- 7072630329
- Primary Specialty
-
Nutrition, Education
133NN1002X
- Additional Specialty
- Nutrition, Education
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.