Individual
DIANE A. LIPPIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4505 SHATTALON DR, WINSTON SALEM, NC 27106-2001
(336) 924-9309
(336) 924-0388
Mailing address
4505 SHATTALON DR, WINSTON SALEM, NC 27106-2001
(336) 924-9309
(336) 924-0388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1469
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211773
—
NC
Enumeration date
04/02/2007
Last updated
07/08/2007
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