Provider Demographics
NPI:1487872123
Name:LIPSKI, ELIZABETH (CCN)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:LIPSKI
Suffix:
Gender:F
Credentials:CCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SUNNY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-9789
Mailing Address - Country:US
Mailing Address - Phone:828-645-7224
Mailing Address - Fax:
Practice Address - Street 1:4 SUNNY RIDGE DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-9789
Practice Address - Country:US
Practice Address - Phone:828-645-7224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCBOARD CERTIFIED133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education