Provider Demographics
NPI:1699287383
Name:LIEPPMAN, ELIZABETH (ND)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:LIEPPMAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:ELLY
Other - Middle Name:
Other - Last Name:MICHELLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:4125 SORRENTO VALLEY BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-1423
Mailing Address - Country:US
Mailing Address - Phone:858-531-5279
Mailing Address - Fax:
Practice Address - Street 1:4125 SORRENTO VALLEY BLVD STE A
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1423
Practice Address - Country:US
Practice Address - Phone:858-531-5279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND934175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath