Individual
CSILLA NANI LIPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 QUARRY ROAD, STANFORD, CA 94305
(650) 725-5591
Mailing address
1225 OAKDALE RD, MODESTO, CA 95355-3357
(209) 577-6200
(661) 218-2988
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A158161
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2017
Last updated
05/24/2022
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