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Individual

DR. CHRISTOPHER P LIPSMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 288-5711
Mailing address
PO BOX 8351, FORT WORTH, TX 76124-0351
(817) 451-4208

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101246429
VA
207P00000X
Emergency Medicine Physician
01067277A
IN
207P00000X
Emergency Medicine Physician
0432906
KS
207P00000X
Emergency Medicine Physician
2006029618
MO
207P00000X
Emergency Medicine Physician
22512
MS
207P00000X
Emergency Medicine Physician
303380
LA
207P00000X
Emergency Medicine Physician
35.094674
OH
207P00000X
Emergency Medicine Physician
36-116105
IL
207P00000X
Emergency Medicine Physician
4301081397
MI
207P00000X
Emergency Medicine Physician
45360
KY
207P00000X
Emergency Medicine Physician
Primary
46236
FL
207P00000X
Emergency Medicine Physician
MD.32515
AL
207P00000X
Emergency Medicine Physician
MD38533
IA
207P00000X
Emergency Medicine Physician
MD60132287
WA
207P00000X
Emergency Medicine Physician
Q1440
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000386700
FL
05
036116105
IL
01
06032182
BLUE CROSS BLUE SHIELD
IL
01
1164536512
BLUE SHIELD
IA
01
1164536512
BCBS
KS
05
1164536512
IA
05
1164536512
MO
05
1164536512
VA
05
1164536512
WA
05
11647536512
ID
05
1521057
TN
05
1720253172
MT
05
200423200D
KS
05
3006106
OH
05
3810018865
WV
01
68323
BC BS OF FL
FL
05
7100146810
KY
01
P00657549
RR MEDICARE
MO
Enumeration date
08/19/2006
Last updated
03/07/2023
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