| NPI | 1164659686 |
|---|---|
| Former Name | TRACY LYNN LIPPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-00261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 249620) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2014-07-14 |