Individual
DR. DAVID EMORY LIPPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 MULBERRY ST, EVANSVILLE, IN 47713-1252
(812) 421-7489
(812) 421-7497
Mailing address
315 MULBERRY ST, EVANSVILLE, IN 47713-1252
(812) 421-7489
(812) 421-7497
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
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