Individual
CARLI LIPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7120 CLEARVISTA DR STE 3200, INDIANAPOLIS, IN 46256-1662
(317) 621-7780
(317) 621-7783
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002422A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300011591
—
IN
Enumeration date
01/17/2018
Last updated
02/18/2022
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