Individual
DR. LEON W LIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
G12424
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040003493
MEDICARE RAILROAD
CA
Enumeration date
06/26/2006
Last updated
02/07/2017
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