| Lippelt Clinical And Sports Nutrition Llc | |
|
7606 S Us Highway 421 Westville IN 46391-9724 | |
| (219) 508-0294 | |
| Not Available |
| Full Name | Lippelt Clinical And Sports Nutrition Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 7606 S Us Highway 421, Westville, Indiana |
| Authorized Official Name and Position | Michael Lippelt (MANAGER) |
| Authorized Official Contact | 2195080294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lippelt Clinical And Sports Nutrition Llc 7606 S Us Highway 421 Westville IN 46391-9724 Ph: () - | Lippelt Clinical And Sports Nutrition Llc 7606 S Us Highway 421 Westville IN 46391-9724 Ph: (219) 508-0294 |
| NPI Number | 1093225765 |
|---|---|
| Provider Enumeration Date | 10/06/2017 |
| Last Update Date | 10/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093225765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
La Porte Regional Physician Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 Flynn Road, Westville, IN 46391 Phone: 219-785-7021 Fax: 219-785-7159 |