Individual
DR. SUSAN LIPPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HWY 264, MP 388, HOPI HEALTH CARE CENTER, POLACCA, AZ 86042
(928) 737-6000
Mailing address
P.O. BOX 4000, HOPI HEALTH CARE CENTER/KEAMS CANYON S.U., POLACCA, AZ 86042
(928) 737-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-102153
IL
Other
Enumeration date
04/18/2007
Last updated
09/23/2009
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