Individual
JEFFREY MARTIN LIPNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2299 PEARL ST, SUITE 204, BOULDER, CO 80302-4668
(203) 312-3597
Mailing address
2299 PEARL ST, SUITE 204, BOULDER, CO 80302-4668
(203) 312-3597
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0008166
CO
Other
Enumeration date
07/05/2013
Last updated
08/08/2013
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