Individual
MRS. SANDY A MALICK-LIPSCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
19031 SE 270TH ST, COVINGTON, WA 98042-8483
(253) 638-7249
Mailing address
19031 SE 270TH ST, COVINGTON, WA 98042-8483
(253) 638-7249
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016227
WA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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