Individual
JOAN ELIZABETH LIPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, SUITE 465, LOS ANGELES, CA 90095-0001
(310) 825-5510
Mailing address
5767 W CENTURY BLVD, SUTE 200, LOS ANGELES, CA 90045-5632
(310) 301-8708
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
C53095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G530950
—
CA
Enumeration date
02/25/2008
Last updated
07/11/2008
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