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NPI Code Detail

MEDICARE: DR. JACOB LIPSKI DC

MEDICARE: DR. JACOB LIPSKI DC
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
1390200000XStudent in an Organized Health Care Education/Training ProgramWI

General Provider Information

NPI Number : 1437728706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACOB LIPSKI DC
Provider Business Mailing Address
First Line : 20900 SWENSON DR STE 575
Second Line :
City : WAUKESHA
State : WI
Zip : 53186-4040
Country : US
Telephone Number : 262-373-9168
Fax Number :
Provider Business Practice Location Address
First Line : 20900 SWENSON DR STE 575
Second Line :
City : WAUKESHA
State : WI
Zip : 53186-4040
Country : US
Telephone Number : 262-373-9168
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2021
Last Update Date : 06/22/2021

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Directions to “ DR. JACOB LIPSKI DC” Practice Location

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