Individual
KENNETH ROBERT LIPPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
809 N CHARLES STREET, BALTIMORE, MD 21201-5335
(410) 752-1532
(410) 752-7025
Mailing address
809 N CHARLES STREET, BALTIMORE, MD 21201-5335
(410) 752-1532
(410) 752-7025
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0027275
MD
207X00000X
Orthopaedic Surgery Physician
ME43996
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146250400
US DEPT OF LABOR
—
01
—
35082501
BLUE CROSS BLUE SHIELD
MD
05
—
466841300
—
MD
01
—
K4230001
CAREFIRST BLUE CHOICE
MD
Enumeration date
10/03/2006
Last updated
03/18/2010
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