| Doctor Name: | DR. JULIANNA PATRICIA LIPPERT-KECK |
| NPI Number: | 1548231673 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 01056184A |
| Business Practice Address: | 310 S Silver Springs Rd Southeasthealth Wound & Hyperbaric Medicine Cape Girardeau, MO - 637036312 |
| Business Phone Number: | 5733349537 |
| Business Fax Number: | 5733350147 |
| Mailing Address: | 310 S Silver Springs Rd, Southeasthealth Wound & Hyperbaric Medicine CAPE GIRARDEAU |
| State: | MO |
| Postal Code: | 637036312 |
| Phone Number: | 5733349537 |
| Fax Number: | 5733350147 |
| NPI Enumeration Date: | 01/27/2006 |
| NPI Last Update Date: | 08/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01056184A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |