Individual
DR. JEFF LIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14018 EDISON DR, WARREN, MI 48088-3702
(586) 945-0825
Mailing address
13253 CROMIE DR., WARREN, MI 48088
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401009900
MI
Other
Enumeration date
06/21/2019
Last updated
07/13/2023
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