STACEY W LIP

LOMA LINDA, CA
NPI1962421115
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  NP7487)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
-- STACEY W LIP N.P.
11370 ANDERSON ST STE 1100
LOMA LINDA, CA 92354-3450
Phone number: 909-558-2830
Mailing Address
-- STACEY W LIP N.P.
54701 FILE NUBMER
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111
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