Individual
CHANTELLE ROSE LIPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(831) 524-6228
Mailing address
290 IOOF AVE, GILROY, CA 95020-5204
(831) 524-6228
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LVN-284207
CA
171M00000X
Case Manager/Care Coordinator
LVN-284207
—
Other
Enumeration date
01/03/2016
Last updated
02/20/2020
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