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Individual

LISA CHIPPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, MS

Contact information

Practice address
421 N RODEO DR # T7, BEVERLY HILLS, CA 90210-4500
(310) 274-5372
(310) 274-5380
Mailing address
421 N RODEO DR # T7, BEVERLY HILLS, CA 90210-4500
(310) 274-5372
(310) 274-5380

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A93058
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A93058
CA
207NS0135X
Procedural Dermatology Physician
A93058
CA
390200000X
Student in an Organized Health Care Education/Training Program
A93058
CA

Other

Enumeration date
01/26/2007
Last updated
07/30/2012
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