Individual
PAMELA ANN LIPPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-4130
(920) 303-4148
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-4130
(920) 303-4148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
85909-030
WI
163WG0000X
General Practice Registered Nurse
85909-030
WI
Other
Enumeration date
10/18/2006
Last updated
11/16/2010
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