Organization
LIPPELT CLINICAL AND SPORTS NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LIPPELT RD (MANAGER)
(219) 508-0294
Entity
Organization
Contact information
Practice address
7606 S US HIGHWAY 421, WESTVILLE, IN 46391-9724
(219) 508-0294
Mailing address
7606 S US HIGHWAY 421, WESTVILLE, IN 46391-9724
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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