Individual
MRS. MICHELLE E LIPKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
PRONATURAL PHYSICIANS, 120 WEBSTER SQUARE RD, BERLIN, CT 06037
(860) 879-0707
(860) 829-0606
Mailing address
PRONATURAL PHYSICIANS GROUP, 120 WEBSTER SQUARE ROAD, BERLIN, CT 06037
(860) 829-0707
(860) 829-0606
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
725585
CT
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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