Individual
LEE ANNE SIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7330
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FLOOR, SHAKER HTS, OH 44122-5203
(216) 286-6260
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67-000077
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225095
UNISON
OH
01
—
000000515977
ANTHEM
OH
01
—
0583328
BCMH
OH
05
—
2250764
—
OH
01
—
414817
WELLCARE MEDICAID
OH
01
—
4662567
AETNA
OH
01
—
P00238840
RAILROAD MEDICARE
OH
01
—
P00400488
MEDICARE RAILROAD
OH
Enumeration date
07/23/2006
Last updated
05/20/2008
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