Individual
MR. JEAN-PAUL LIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1324 JACKSON AVE, DETROIT LAKES, MN 56501-4104
(651) 336-2404
Mailing address
1324 JACKSON AVE, DETROIT LAKES, MN 56501-4104
(651) 336-2404
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A698657500
MINNESOTA DEPARTMENT OF HUMAN SERVICES
MN
Enumeration date
01/06/2023
Last updated
01/06/2023
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