Individual
DR. DAVID EMORY LIPPMAN
Active
Individual
DR. DAVID EMORY LIPPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01060808A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000377448
ANTHEM BCBS
IN
01
—
01060808A
PHYSICIAN LICENSE
IN
01
—
200079040B
MEDICAID GRP
IN
05
—
200338590
—
IN
01
—
637650R
MEDICARE #
—
Enumeration date
08/22/2005
Last updated
12/22/2020
Update your record
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