Individual
EDDIE M LIPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12230 LIONESS WAY, PARKER, CO 80134-5603
(720) 644-9355
Mailing address
9250 E COSTILLA AVE STE 540, GREENWOOD VILLAGE, CO 80112-3648
(720) 644-9355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21830
AZ
207R00000X
Internal Medicine Physician
Primary
DR.0038776
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001425656007
—
AZ
01
—
AZ0196640
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
04/25/2006
Last updated
02/07/2025
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