Individual
RAEANN LIPPITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6045 S RIDGELINE DR, APT. H308, SOUTH OGDEN, UT 84405-6978
(970) 396-0257
Mailing address
6045 S RIDGELINE DR, APT. H308, SOUTH OGDEN, UT 84405-6978
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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