Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 210071 | NY |
N | 2080P0205X | Pediatric Endocrinologist | 25MA07120100 | NJ |
NPI | 1477591378 |
---|---|
Provider Name | Lauren Elizabeth Lipeski |
First Address | Syracuse, NY 13214-2016 |
Second Address | Syracuse, NY 13214-2016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 14/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02049058 | (05) | NY |
8456500 | (05) | NJ |
H31741 | (02) |