Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | P0571 | FL |
NPI | 1063447522 |
---|---|
Provider Name | Saul Lipsman |
First Address | Lake Worth, FL 33467 |
Second Address | Lake Worth, FL 33467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
87281 | BLUE SHIELD (01) | FL |
T95483 | (02) |