Individual
MR. BRIAN LIPPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 E OCEAN AVE, LOMPOC, CA 93436-7081
(805) 735-8625
Mailing address
26 BRUCE DR, MANORVILLE, NY 11949-2807
(631) 872-1486
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48994
CA
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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