Individual
GARRY G LIPSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP
Contact information
Practice address
100 N MEDICAL DR, SLC, UT 84113-1103
(801) 662-4100
Mailing address
8310 SOUTH HAYES STREET, MIDVALE, UT 84047
(801) 255-2877
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
223056-4405
UT
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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