Individual
MRS. BRENDA LEE LIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6597 ST RT 7, ANDOVER, OH 44003
(440) 969-0554
Mailing address
PO BOX 526, ANDOVER, OH 44003
(440) 293-5006
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN089345IV
OH
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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