Provider Demographics
NPI:1093156747
Name:DE LIPSKI, CATHERINE ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ANNE
Last Name:DE LIPSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 GOLD CIR
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-4354
Mailing Address - Country:US
Mailing Address - Phone:650-922-0761
Mailing Address - Fax:
Practice Address - Street 1:6839 FIVE STAR BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-2685
Practice Address - Country:US
Practice Address - Phone:916-259-2682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32459111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor