Benjamin E. Lippmann, D.o., P.a. | |
5302 S Florida Ave Ste 206 Lakeland FL 33813-4910 | |
(863) 289-0968 | |
Not Available |
Full Name | Benjamin E. Lippmann, D.o., P.a. |
---|---|
Speciality | Psychiatry & Neurology |
Location | 5302 S Florida Ave Ste 206, Lakeland, Florida |
Authorized Official Name and Position | Benjamin Elliot Lippmann (CEO) |
Authorized Official Contact | 8632890968 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Benjamin E. Lippmann, D.o., P.a. 5302 S Florida Ave Ste 206 Lakeland FL 33813-4910 Ph: (863) 289-0968 | Benjamin E. Lippmann, D.o., P.a. 5302 S Florida Ave Ste 206 Lakeland FL 33813-4910 Ph: (863) 289-0968 |
NPI Number | 1407500390 |
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Provider Enumeration Date | 02/09/2022 |
Last Update Date | 02/09/2022 |
Certification Date | 02/09/2022 |
Medicare PECOS PAC ID | 3779960836 |
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Medicare Enrollment ID | O20220511002828 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407500390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Benjamin Elliot Lippmann |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1902141773 PECOS PAC ID: 1951696921 Enrollment ID: I20181115002264 |
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