Individual
KATIE LUCILLE LIPPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 WINDERLEY PL STE 115, MAITLAND, FL 32751-7406
(407) 875-0555
Mailing address
595 CALIBRE CREST PKWY APT 106, ALTAMONTE SPRINGS, FL 32714-3641
(954) 591-9557
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
09/20/2023
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