Individual
CHERYL SANDRA LIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
218 DELAWARE AVE, SUITE A, PALMERTON, PA 18071-1858
(610) 826-6353
(610) 826-6359
Mailing address
218 DELAWARE AVE, SUITE A, PALMERTON, PA 18071-1858
(610) 826-6353
(610) 826-6359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD037243E
PA
207RN0300X
Nephrology Physician
Primary
MD037243E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001258810
—
PA
05
—
001642680
—
PA
01
—
002660
FIRST PRIORITY HEALTH
PA
01
—
01046401
CAPITAL BLUE CROSS ID.
PA
01
—
020286200
FEDERAL BLACK LUNG
PA
01
—
02292600
CAPITAL BLUE CROSS GRP. #
PA
01
—
390004526
RAILROAD MEDICARE ID. NUM
PA
01
—
CA869935
BLUE SHIELD GRP. NUMBER
PA
01
—
CE2338
RAILROAD MEDICARE GRP.NUM
PA
01
—
LI101650
BLUE SHIELD IDIV.NUMBER
PA
01
—
P1607796
OXFORD HEALTH PLAN
PA
Enumeration date
07/20/2005
Last updated
06/01/2022
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