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Individual

BENNET LIPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3801 LAS POSAS RD STE 214, CAMARILLO, CA 93010-1426
(805) 437-0900
(805) 987-2878
Mailing address
800 S VICTORIA AVE # L4640, VENTURA, CA 93009-0003
(805) 437-0900
(805) 987-2878

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G68798
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G68798
CA
207RP1001X
Pulmonary Disease Physician
G68798
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZZ80185Z
CA
Enumeration date
10/27/2005
Last updated
07/14/2023
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