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NPI Code Detail

MEDICARE: MARY ELIZABETH LIPPERT OTR/L

MEDICARE: MARY ELIZABETH LIPPERT OTR/L
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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1952125031
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ELIZABETH LIPPERT OTR/L
Provider Business Mailing Address
First Line : 1352 GLENVIEW DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40514-2204
Country : US
Telephone Number : 859-475-4787
Fax Number :
Provider Business Practice Location Address
First Line : 5 DOCUMENT DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63114-6100
Country : US
Telephone Number : 314-970-9115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2024
Last Update Date : 11/14/2024

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Directions to “ MARY ELIZABETH LIPPERT OTR/L” Practice Location

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