Individual
DR. JOHN A LIPPMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
186 MEDICAL VILLAGE DR, NEWPORT, VT 05855-8537
(802) 334-3520
(802) 334-3512
Mailing address
81 MEDICAL VILLAGE DR, SUITE 1, NEWPORT, VT 05855-9835
(802) 334-4120
(802) 334-4123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420010612
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00059562
BLUE SHIELD
VT
05
—
1009877
—
VT
01
—
394921
MVP
VT
01
—
800356
LADIES FIRST
VT
01
—
P00061826
RAILROAD MEDICARE
VT
Enumeration date
08/30/2006
Last updated
07/06/2021
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