Individual
JACQUELINE LIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 N NANTUCKET DR, LORAIN, OH 44053-3219
(440) 989-1977
Mailing address
1711 N NANTUCKET DR, LORAIN, OH 44053-3219
(440) 989-1977
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
364915630691E
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2697854
—
OH
Enumeration date
02/23/2007
Last updated
07/08/2009
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