Individual
DR. JOHN M LIPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 S VINE ST, BASTROP, LA 71220-4513
(318) 281-5422
(318) 281-4416
Mailing address
425 S VINE ST, BASTROP, LA 71220-4513
(318) 281-5422
(318) 281-4416
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1021611
LA
208600000X
Surgery Physician
Primary
1021611
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1494933
—
LA
Enumeration date
12/08/2005
Last updated
09/12/2016
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