# KENNETH ROBERT LIPPMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770677759
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | D0027275 | MD | Yes |
| 207X00000X | Orthopaedic Surgery Physician | ME43996 | FL | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 03/18/2010

## 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 |