Individual
MR. DONALD LEWIS LIPSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16428 84TH AVE N, MAPLE GROVE, MN 55311-1822
(763) 420-5419
Mailing address
16428 84TH AVE N, MAPLE GROVE, MN 55311-1822
(763) 420-5419
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
74-75
NM
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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