Individual
DR. JOHN KENNETH LIPPINCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
53 SEWALL ST, PORTLAND, ME 04102-2625
(207) 828-2020
(207) 773-7034
Mailing address
53 SEWALL ST, PORTLAND, ME 04102-2625
(207) 828-2020
(207) 773-7034
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
76892
WI
207W00000X
Ophthalmology Physician
Primary
MD28019
ME
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
76892
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871094110
—
ME
05
—
1871094110
—
WI
Enumeration date
02/22/2018
Last updated
09/17/2024
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