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Individual

DR. IRA LIPPMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
205 MONTGOMERY MALL, NORTH WALES, PA 19454
(215) 362-2241
(215) 362-8696
Mailing address
205 MONTGOMERY MALL, NORTH WALES, PA 19454
(215) 362-2241
(215) 362-8696

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE5134T
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1644263
PA
Enumeration date
10/27/2006
Last updated
02/14/2008
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