Individual
DR. WAYNE E LIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOSPITAL DR, MADISONVILLE, KY 42431-1658
(270) 326-3800
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME83852
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
02113
WV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
44161
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000289341
UNISON
OH
05
—
3002128
—
OH
05
—
3810015990
—
WV
01
—
5104835
CIGNA
WV
05
—
7100122730
—
KY
01
—
7921468
AETNA
WV
01
—
P01080042
RR MEDICARE TROVER
KY
Enumeration date
11/16/2006
Last updated
12/08/2020
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