Individual
MR. MICHAEL ALEXANDER LYPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
0436704
KS
208200000X
Plastic Surgery Physician
Primary
2013022097
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265687719
BCBS
TX
05
—
216246301
—
TX
01
—
216246302
CSHCN
TX
01
—
8CQ053
BCBS
TX
Enumeration date
11/25/2008
Last updated
08/09/2013
Update your record
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