Individual
MR. MICHAEL LANE LIPSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1325 E. THOUSAND OAKS BLVD #104, THOUSAND OAKS, CA 91362
(805) 371-6144
(805) 371-6148
Mailing address
1325 E. THOUSAND OAKS BLVD #104, THOUSAND OAKS, CA 91362
(805) 371-6144
(805) 371-6148
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
DC 27804
CA
305R00000X
Preferred Provider Organization
Primary
DC27804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC 27804
LICENSE #
CA
Enumeration date
02/21/2007
Last updated
02/23/2015
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