Individual
MICHAEL LIPNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
116 E 9TH ST, JULESBURG, CO 80737-1100
(970) 474-3376
(970) 474-2461
Mailing address
900 CEDAR ST, JULESBURG, CO 80737-1121
(970) 474-3376
(970) 474-2461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41949
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39106241
—
CO
Enumeration date
08/01/2006
Last updated
07/08/2007
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