Organization
LIPPELT CLINICAL AND SPORTS NUTRITION LLC
Active
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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