Provider Demographics
NPI:1821086158
Name:LIPKE, MOLLY ANN (MD)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:ANN
Last Name:LIPKE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:125 DUNGCA BEACH WAY
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96913-3439
Mailing Address - Country:US
Mailing Address - Phone:671-646-1978
Mailing Address - Fax:
Practice Address - Street 1:US NAVAL HOSPITAL GUAM
Practice Address - Street 2:FARENHOLT STREET BUILDING K1
Practice Address - City:AGANA HEIGHTS
Practice Address - State:GU
Practice Address - Zip Code:96919
Practice Address - Country:US
Practice Address - Phone:671-344-9054
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL000248492083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine