NICOL LIPPMAN, MD, INC.
Osteopathic Medicine at Averill Ave, San Pedro, CA

License number
California A62947
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. NICOL LIPPMAN M.D.
Title: PRESIDENT
Phone: (310) 832-3331
Address
Address
715 S Averill Ave, San Pedro, CA 90732
National Provider ID: 1528148897
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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P. M. NICOL LIPPMAN, M.D., INC

San Pedro, CA

Status:
Inactive
Registration:
Sep 30, 1998
Addresses:
715 Averil Ave, San Pedro, CA 90732 (Physical)
715 S Averill Ave, San Pedro, CA 90732
State ID:
C2094279
Business type:
Articles of Incorporation
President:
Nicol President, inactive
Agent:
Nicol,San Pedro, CA 90732 (Physical)

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