Individual
LANCE LEE HIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1701 COUNTY ROAD, SUITE B, MINDEN, NV 89423-4465
(775) 782-4466
(775) 783-9708
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
(775) 747-5005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2692
NM
225100000X
Physical Therapist
Primary
PT2429
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11781301
—
NM
Enumeration date
02/09/2006
Last updated
04/17/2012
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