Doctor Name: | MS. ELIZABETH ANN LIPPERT |
NPI Number: | 1033493390 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 01119 |
Business Practice Address: | 201 28th Ave Sw Willmar, MN - 562015241 |
Business Phone Number: | 3202148558 |
Business Fax Number: | 3202352733 |
Mailing Address: | Po Box 823, WILLMAR |
State: | MN |
Postal Code: | 562010823 |
Phone Number: | 3202148558 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2011 |
NPI Last Update Date: | 10/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 01119 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |