Individual
LORI CHRISTINE LEIPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12255 S 80TH AVE, SUITE 201, PALOS HEIGHTS, IL 60463-1270
(708) 923-7600
(708) 923-7605
Mailing address
12255 S 80TH AVE, SUITE 201, PALOS HEIGHTS, IL 60463-1270
(708) 923-7600
(708) 923-7605
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-105955
IL
208M00000X
Hospitalist Physician
036105955
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105955
—
IL
Enumeration date
08/12/2006
Last updated
03/07/2019
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