Individual
MICAELA M LIPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 STATE ST STE 104, ERIE, PA 16507-1463
(724) 933-0300
Mailing address
7000 STONEWOOD DR STE 151, WEXFORD, PA 15090-7376
(724) 933-0300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093733933
GROUP NPI
PA
Enumeration date
07/22/2020
Last updated
07/22/2020
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