Individual
MARY C LIPOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
78 OVERLOOK PL, BEDFORD, OH 44146-2930
(330) 888-5920
Mailing address
78 OVERLOOK PL, BEDFORD, OH 44146-2930
(330) 888-5920
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-214507
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007581
—
OH
Enumeration date
06/20/2006
Last updated
06/04/2014
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