Most Relevant Information
Provider Data
| NPI Number: | 1003339219 |
| Provider Name: | MICHAEL LIPPELT R.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 133VN1006X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/19/2017 |
| Last Updated: | 07/19/2017 |
Provider Practice Location
7606 S US HIGHWAY 421
WESTVILLE
IN
463919724
Practice Location Phone/Fax
| Phone: | 2195080294 |
| Fax: |
Provider Mailing Location
7606 S US HIGHWAY 421
WESTVILLE
IN
463919724
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |