Provider Demographics
NPI:1467731141
Name:LIPPE, ASHLEIGH DYAN (DC)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:DYAN
Last Name:LIPPE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:
Other - Last Name:MALEAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2404 NW 22ND ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-3204
Mailing Address - Country:US
Mailing Address - Phone:214-883-3882
Mailing Address - Fax:
Practice Address - Street 1:1205 N GREEN AVE
Practice Address - Street 2:
Practice Address - City:PURCELL
Practice Address - State:OK
Practice Address - Zip Code:73080-1803
Practice Address - Country:US
Practice Address - Phone:405-527-3323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3842111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor