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NPI Code Detail

MEDICARE: MS. SHERRI MARJORIE LIPP LPN

MEDICARE: MS. SHERRI MARJORIE LIPP LPN
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
1164W00000XLicensed Practical Nurse306420-31WI

General Provider Information

NPI Number : 1407129620
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHERRI MARJORIE LIPP LPN
Provider Business Mailing Address
First Line : 3806 S 52ND ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53220-2024
Country : US
Telephone Number : 414-378-5974
Fax Number :
Provider Business Practice Location Address
First Line : 3806 S 52ND ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53220-2024
Country : US
Telephone Number : 414-378-5974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2012
Last Update Date : 02/18/2012

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