Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 0101259737 | VA |
NPI | 1174750590 |
---|---|
Provider Name | Dr. Quinn Kerr Lippmann |
First Address | Richmond, VA 23235 |
Second Address | Richmond, VA 23235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2009 |
Last Update Date | 21/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1174750590 | (05) | VA |