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Individual

COLLEEN LIPANOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
5920 WEST MALL, ATASCADERO, CA 93422-4232
(805) 466-0676
(805) 466-4862
Mailing address
117 WEST BUNNY AVENUE, SANTA MARIA, CA 93458-2805
(805) 466-0676
(805) 466-4862

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95002478
CA

Other

Enumeration date
06/02/2015
Last updated
12/26/2015
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