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Individual

LAUREN STIPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12805 US HIGHWAY 98 E, INLET BEACH, FL 32461-9630
(850) 278-3390
(850) 278-3389
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101274939
VA
207RC0000X
Cardiovascular Disease Physician
0101274939
VA
207RC0000X
Cardiovascular Disease Physician
Primary
ME130011
FL

Other

Enumeration date
03/31/2014
Last updated
07/13/2022
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