Individual
ELINA LIPOVSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416
(952) 993-3123
(952) 993-3286
Mailing address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3123
(952) 993-3286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61466
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2015
Last updated
05/31/2018
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