Individual
LIJI VIPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 OREGON AVE, PHILADELPHIA, PA 19145
(215) 334-2200
Mailing address
49 BEECHWOOD BLVD, FEASTERVILLE TREVOSE, PA 19053-4471
(215) 908-6454
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP015145
PA
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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