Individual
JOHN CHARLES LIPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
142 S MAIN ST, DANVILLE, VA 24541-2922
(434) 799-4200
(434) 792-3925
Mailing address
125 EXECUTIVE DR, SUITE L, DANVILLE, VA 24541-4155
(434) 799-4200
(434) 792-3925
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101030919
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015307
DRI BC
VA
01
—
180744
DDIC BC
VA
01
—
8906334
DRI NC MCD
VA
Enumeration date
01/20/2006
Last updated
07/09/2007
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