# MARK DAVID LIPETZ

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568597235
- **Authorized official:** DR. MARK D. LIPETZ M.D. (OWNER)
- **Authorized official phone:** (808) 891-1177

## Contact information

- **Practice address:** 41 E LIPOA ST STE 22, KIHEI, HI 96753-8148
- **Practice address phone:** (808) 891-1177
- **Practice address fax:** (808) 891-2255
- **Mailing address:** 41 E LIPOA ST STE 22, KIHEI, HI 96753-8148
- **Mailing address phone:** (808) 891-1177
- **Mailing address fax:** (808) 891-2255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 10263 | HI | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 06/24/2008