Individual
MR. JEFFREY MARK LIPPOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2300 FRONT ST, 210, SAN DIEGO, CA 92101-1430
(858) 733-0581
Mailing address
2300 FRONT ST, 210, SAN DIEGO, CA 92101-1430
(858) 733-0581
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN161495
CA
Other
Enumeration date
10/03/2009
Last updated
10/03/2009
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