Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 0101049169 | VA |
N | 111NN0400X | Neurology | D34024 | MD |
N | 111NN0400X | Neurology | MD22073 | DC |
NPI | 1205996782 |
---|---|
Provider Name | Dr. David C Lipps |
First Address | Rockville, MD 20852-4908 |
Second Address | Fairfax, VA 22033-4512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F25371 | (02) |