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Individual
DR. JACK MORGAN LIPPS
Active
Individual
DR. JACK MORGAN LIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME038761
FL
207V00000X
Obstetrics & Gynecology Physician
ME38761
FL
208D00000X
General Practice Physician
ME38761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280479400
—
FL
01
—
62330
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/01/2006
Last updated
05/08/2024
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