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Individual

DR. OLAV E. LIPIEC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
26044 LAKEVIEW DR, MARYVILLE, MO 64468-7263
(660) 582-4134
Mailing address
26044 LAKEVIEW DR, MARYVILLE, MO 64468-7263
(660) 582-4134

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004544
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
43-1335164
TAX ID #
MO
Enumeration date
04/14/2007
Last updated
07/16/2010
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