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Individual

DR. TRACY E LIPPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38241
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017367
KAISER-COMMERCIAL NUMBER
05
07053843
CO
Enumeration date
03/07/2007
Last updated
06/10/2021
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