Provider Demographics
NPI:1013919083
Name:TRIPOLI, LOUIS CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:CHRISTOPHER
Last Name:TRIPOLI
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1510 MEADOW WOOD LN
Mailing Address - Street 2:PROMINENCE HEALTH
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-8503
Mailing Address - Country:US
Mailing Address - Phone:775-770-9242
Mailing Address - Fax:928-832-2864
Practice Address - Street 1:1510 MEADOW WOOD LN
Practice Address - Street 2:PROMINENCE HEALTH
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-8503
Practice Address - Country:US
Practice Address - Phone:775-770-9242
Practice Address - Fax:928-832-2864
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2017-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO109666207R00000X
CAG87070207R00000X
NV17069207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B40819Medicare UPIN