Individual
ROBERT S LIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5133 N CENTRAL AVE STE 206, PHOENIX, AZ 85012-1438
(602) 264-0608
(602) 234-0417
Mailing address
PO BOX 910221, DALLAS, TX 75391-0221
(520) 519-7700
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29201
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5451764
AETNA
AZ
05
—
576762
—
AZ
01
—
66183
MEDICARE
AZ
01
—
8291317
CIGNA
AZ
01
—
940423
WELLCARE MEDICARE ADVANTAGE
AZ
01
—
P01193019
RAILROAD MCR
AZ
Enumeration date
08/11/2005
Last updated
03/16/2022
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