Organization
RANDEE E LIPMAN M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDEE E LIPMAN M.D. (DOCTOR)
(316) 263-5889
Entity
Organization
Contact information
Practice address
1515 S CLIFTON AVE STE 320, WICHITA, KS 67218-2953
(316) 263-5889
(316) 263-5889
Mailing address
PO BOX 47641, WICHITA, KS 67201-7641
(316) 263-5889
(316) 263-1086
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
23573
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100125840G
—
KS
01
—
KA2454
BLUE CROSS BLUE SHIELD OF KANSAS
KS
Enumeration date
01/10/2012
Last updated
03/14/2012
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