Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A19819 | CA |
NPI | 1083866800 |
---|---|
Provider Name | Leonard Michael Lipman |
First Address | Santa Monica, CA 90405-2612 |
Second Address | Santa Monica, CA 90405-2612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2008 |
Last Update Date | 13/10/2008 |