Individual provider · Type 1 NPI
Jacob R. Lipovac, MEDICAL STUDENT
Specialist · Sacramento, CA
NPI number
1093409476
Active
Practice location
4301 X St
Sacramento, CA 95817-2214
Mailing address
8804 Sawtelle Way Apt B
Sacramento, CA 95826-2114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1093409476
Jacob R. Lipovac, MEDICAL STUDENT's National Provider Identifier is 1093409476, issued on Jun 7, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sacramento, CA. The record was last updated on Aug 26, 2024.