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Individual

KENNETH ROBERT LIPPMAN

Active
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Individual

KENNETH ROBERT LIPPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0027275
MD
207X00000X
Orthopaedic Surgery Physician
ME43996
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146250400
US DEPT OF LABOR
—
01
—
35082501
BLUE CROSS BLUE SHIELD
MD
05
—
466841300
—
MD
01
—
K4230001
CAREFIRST BLUE CHOICE
MD
Enumeration date
10/03/2006
Last updated
03/18/2010
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