Individual
KENNETH LIPSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3701 WESTERRE PKWY, SUITE A, RICHMOND, VA 23233-1326
(804) 288-1543
(804) 285-2375
Mailing address
3701 WESTERRE PKWY, SUITE A, RICHMOND, VA 23233-1326
(804) 288-1543
(804) 285-2375
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101030447
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6398821
—
VA
Enumeration date
12/06/2007
Last updated
02/05/2008
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