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NPI Code Detail

MEDICARE: LAURA LIPPITT PHARMD

MEDICARE: LAURA LIPPITT PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH52814CA

General Provider Information

NPI Number : 1043592793
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA LIPPITT PHARMD
Provider Business Mailing Address
First Line : 8766 NAVAJO RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92119-2722
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8766 NAVAJO RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92119-2722
Country : US
Telephone Number : 619-667-8764
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2011
Last Update Date : 09/19/2011

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Directions to “ LAURA LIPPITT PHARMD” Practice Location

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