Healthcare Provider Details

I. General information

NPI: 1851607592
Provider Name (Legal Business Name): REBEKAH L LIPKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2010
Last Update Date: 08/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34061 FOREST PARK DR
ELIZABETH CO
80107-7842
US

IV. Provider business mailing address

PO BOX 1272
ELIZABETH CO
80107-1272
US

V. Phone/Fax

Practice location:
  • Phone: 303-646-4071
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246YC3302X
TaxonomyPhysician Office Based Coding Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: