Individual
MR. JONATHAN HARRY LIPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 HAWLEY LN, STRATFORD, CT 06614-1202
(203) 502-4908
Mailing address
99 HAWLEY LN, STRATFORD, CT 06614-1202
(203) 502-4908
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7239
CT
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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