Individual
MIKAYLA LYNN LIPPINCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
338 W PIONEER AVE, MONTESANO, WA 98563-4412
(425) 209-9359
Mailing address
813 MARTIN ST, ABERDEEN, WA 98520-3716
(425) 209-9359
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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