Provider Demographics
NPI:1932236239
Name:PIPPINS, JUDY ANN (LMT, LMT, NCTMB)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:ANN
Last Name:PIPPINS
Suffix:
Gender:F
Credentials:LMT, LMT, NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1454 W LEE ST
Mailing Address - Street 2:
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-2667
Mailing Address - Country:US
Mailing Address - Phone:509-750-6000
Mailing Address - Fax:
Practice Address - Street 1:1454 W LEE ST
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-2667
Practice Address - Country:US
Practice Address - Phone:509-750-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00013007174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist