Individual
SUSAN MICHELLE LIPASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1500 SOUTHWEST BLVD STE D, JEFFERSON CITY, MO 65109-2472
(573) 635-6350
(573) 635-9049
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018034002
MO
Other
Enumeration date
07/23/2018
Last updated
04/10/2024
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