Organization
MARK DAVID LIPETZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D. LIPETZ M.D. (OWNER)
(808) 891-1177
Entity
Organization
Contact information
Practice address
41 E LIPOA ST STE 22, KIHEI, HI 96753-8148
(808) 891-1177
(808) 891-2255
Mailing address
41 E LIPOA ST STE 22, KIHEI, HI 96753-8148
(808) 891-1177
(808) 891-2255
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
10263
HI
Other
Enumeration date
02/22/2007
Last updated
06/24/2008
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