person
Miss Gina Marie Lippa, OPTICIAN
Optician in Brockport, New York
NPI 1497787600

Gina Marie Lippa is a Optician based in Brockport, NY and is specialized in Optician. Gina Marie Lippa practices in Brockport, NY and has the professional credentials of OPTICIAN. The NPI Number for Gina Marie Lippa is 1497787600 and holds a License No. 006495-1 (New York).

The current practice location address for Gina Marie Lippa is 300 West Ave, Brockport, NY and can be reached out via phone at 585-637-3905 and via fax at 585-637-4990.

Location: 300 West Ave, Brockport, NY, 14420-1118
person
Provider Profile Details
NPI Number
1497787600
Provider Name
Gina Marie Lippa
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Female
Address
300 West Ave, Brockport, NY, 14420-1118
Phone Number
585-637-3905
Fax Number
585-637-4990
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1598707812 01 NY OAK ORCHARD BROCKPORT NPI
179014CT 01 NY PREFERRED CARE VENDOR #
17209159 01 NY EXCELLUS VENDOR #
institution
Provider Business Practice Location Address Details
Address
300 West Ave
City
State
Zip
14420-1118
Phone Number
585-637-3905
Fax Number
585-637-4990
person
Provider Business Mailing Address Details
Address
300 West Ave
City
State
Zip
14420-1118
Phone Number
585-637-3905
Fax Number
585-637-4990
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
006495-1 (New York)
Definition
Definition to come...
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