Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | DR.0063043 | CO |
N | 207U00000X | Nuclear Medicine Specialist | MD041229E | PA |
NPI | 1467457218 |
---|---|
Provider Name | Anita Lipson |
First Address | Woody Creek, CO 81656-0597 |
Second Address | Gladwyne, PA 19035-1402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 30/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F44077 | (02) | PA |