Individual
GRANT STUART LIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
300 PASTEUR DR, MC 5500, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, MC 5500, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A89056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A890560
—
CA
Enumeration date
06/13/2006
Last updated
11/24/2009
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