Individual
DR. SUSAN MAXINE LIPPMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 S WOODS MILL RD, STE. 610N, CHESTERFIELD, MO 63017-3625
(314) 453-9300
Mailing address
222 S WOODS MILL RD, 610N, CHESTERFIELD, MO 63017-3625
(314) 453-9300
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MDR4H46
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209677103
—
MO
Enumeration date
04/04/2007
Last updated
05/16/2008
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