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Individual

VANESSA LIPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2291 CABALLO AVE UNIT 1, BOZEMAN, MT 59718-5657
(406) 390-3254
Mailing address
713 S BLACK AVE APT 3, BOZEMAN, MT 59715-5383
(406) 390-3254
(406) 624-2700

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/24/2014
Last updated
09/14/2023
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