Provider Demographics
NPI:1376750653
Name:LIPTON, LANCE DOUGLAS (DC)
Entity Type:Individual
Prefix:DR
First Name:LANCE
Middle Name:DOUGLAS
Last Name:LIPTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 E. BOOT ROAD
Mailing Address - Street 2:200F
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380
Mailing Address - Country:US
Mailing Address - Phone:610-692-5065
Mailing Address - Fax:610-692-7383
Practice Address - Street 1:1450 E. BOOT ROAD
Practice Address - Street 2:200F
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380
Practice Address - Country:US
Practice Address - Phone:610-692-5065
Practice Address - Fax:610-692-7383
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPADC2660-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor