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Organization
NICOL LIPPMAN, MD, INC.
Active
Organization
NICOL LIPPMAN, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOL LIPPMAN M.D. (PRESIDENT)
(310) 832-3331
Entity
Organization
Contact information
Practice address
715 S AVERILL AVE, SAN PEDRO, CA 90732-3813
(310) 832-3331
(310) 832-1741
Mailing address
715 S AVERILL AVE, SAN PEDRO, CA 90732-3813
(310) 832-3331
(310) 832-1741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A62947
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A629470
—
CA
Enumeration date
10/17/2006
Last updated
08/22/2020
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