Provider Demographics
NPI:1457849168
Name:LIPP, RHANDEE
Entity Type:Individual
Prefix:
First Name:RHANDEE
Middle Name:
Last Name:LIPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5763 DOLORES DR
Mailing Address - Street 2:
Mailing Address - City:ROHNERT PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94928-1706
Mailing Address - Country:US
Mailing Address - Phone:707-327-7034
Mailing Address - Fax:707-327-7034
Practice Address - Street 1:5763 DOLORES DR
Practice Address - Street 2:
Practice Address - City:ROHNERT PARK
Practice Address - State:CA
Practice Address - Zip Code:94928-1706
Practice Address - Country:US
Practice Address - Phone:707-327-7034
Practice Address - Fax:707-327-7034
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist