Individual
MR. PATRICK V. LIPPA
Active
Individual
MR. PATRICK V. LIPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000031396201
UNIVERA
NY
01
—
000419218001
BLUE CROSS & BLUE SHIELD OF WESTERN NEW YORK
NY
01
—
00820001272
UNITED HEALTHCARE
NY
05
—
02885894
—
NY
01
—
17351
MVP
NY
01
—
8291475
INDEPENDENT HEALTH
NY
01
—
9008369
AETNA
NY
01
—
P0170059DM
EXCELLUS BLUE SHIELD
NY
01
—
P1070059DS
EXCELLUS BLUE CHOICE
NY
01
—
TIN
POMCO
NY
Enumeration date
12/18/2007
Last updated
01/20/2015
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