Individual
MICHAEL J LIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4257 ASCOTT LN, WALLED LAKE, MI 48390-1366
(248) 420-0585
Mailing address
4257 ASCOTT LN, COMMERCE TWP, MI 48390-1366
(248) 420-0585
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002621
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4404879
—
MI
Enumeration date
01/22/2007
Last updated
11/12/2020
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