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NPI Code Detail

MEDICARE: MS. LOIS FRANCES LIPTAK RN, LCMT, CPT, CLP

MEDICARE: MS. LOIS FRANCES LIPTAK RN, LCMT, CPT, CLP
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
1163WM1400XNurse Massage Therapist (NMT)1581SC
2163WM1400XNurse Massage Therapist (NMT)RN34656SC

General Provider Information

NPI Number : 1740599760
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LOIS FRANCES LIPTAK RN, LCMT, CPT, CLP
Provider Business Mailing Address
First Line : 19 FIRETHORN LN
Second Line :
City : HILTON HEAD ISLAND
State : SC
Zip : 29928-6238
Country : US
Telephone Number : 843-686-6428
Fax Number : 843-686-6428
Provider Business Practice Location Address
First Line : 30 NEW ORLEANS RD
Second Line :
City : HILTON HEAD ISLAND
State : SC
Zip : 29928-4715
Country : US
Telephone Number : 843-686-6428
Fax Number : 843-686-6428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2010
Last Update Date : 09/26/2010

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