Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OS012545 | PA |
NPI | 1831380963 |
---|---|
Provider Name | Dr. Ruthann I Lipman |
First Address | Erie, PA 16505-5007 |
Second Address | Erie, PA 16505-5007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 27/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1024075330001 | (05) | PA |