Individual
JASON LIPPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 PARK AVE, WILLISTON, VT 05495-9701
(802) 878-1008
Mailing address
28 PARK AVE, WILLISTON, VT 05495-9701
(802) 878-1008
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
042.0015045
VT
Other
Enumeration date
05/17/2016
Last updated
03/12/2021
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