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Individual

BRUCE DUNN LIPPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1830 BLAKE AVE, GLENWOOD SPRINGS, CO 81601
(970) 945-8503
(970) 945-0253
Mailing address
1830 BLAKE AVE, GLENWOOD SPRINGS, CO 81601
(970) 945-8503
(970) 945-0253

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15500
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01155001
CO
01
D22865
WORKERS COMP
CO
Enumeration date
09/22/2006
Last updated
07/08/2007
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