Individual
ELISE ANNE LIPPINCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2570 NW EDENBOWER BLVD, ROSEBURG, OR 97471-6214
(541) 677-7200
Mailing address
524 RIVER BEND RD, ROSEBURG, OR 97471-8241
(989) 350-8771
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
390200000X
TN
Other
Enumeration date
04/07/2021
Last updated
06/18/2024
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