Individual
NICHOLAS J. LIPPOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, #300C, HENDERSONVILLE, TN 37075-2379
(615) 338-3337
(615) 338-3329
Mailing address
353 NEW SHACKLE ISLAND RD, #300C, HENDERSONVILLE, TN 37075-2379
(615) 338-3337
(615) 338-3329
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
26506
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3032909
BCBS OF TN
TN
05
—
3090781
—
TN
Enumeration date
08/23/2006
Last updated
02/09/2022
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