Individual
KATHLEEN A LIPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5107 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 614-8612
Mailing address
5107 MEDICAL DR, SAN ANTONIO, TX 78229-4801
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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