Individual
MRS. AUDREY KAY LIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15366 11TH ST, VICTORVILLE, CA 92395-3726
(760) 245-6465
Mailing address
17618 CROWN VALLEY CT, APPLE VALLEY, CA 92307-1207
(660) 998-9095
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95031186
CA
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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