Individual
JACQUELINE DANIELLE LIPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157
(336) 716-2255
Mailing address
MEDICAL CANTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2018-01736
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2015
Last updated
07/02/2018
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