Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | CO24720 | CO |
NPI | 1073721023 |
---|---|
Provider Name | Dr. Carol Ann Lipper |
First Address | Denver, CO 80206-5126 |
Second Address | Denver, CO 80206-5126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D24502 | (02) | CO |