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Individual

CAROL F LIPPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-1234
(215) 923-6792
Mailing address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-1234
(215) 923-6792

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD057682L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001553866
PA
Enumeration date
05/11/2006
Last updated
11/22/2016
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