Provider Demographics
NPI:1427037027
Name:HIPPLE, JUDITH HOLT (DO)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:HOLT
Last Name:HIPPLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 WHEATFIELD DR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9074
Mailing Address - Country:US
Mailing Address - Phone:717-569-1251
Mailing Address - Fax:717-569-3903
Practice Address - Street 1:1725 OREGON PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4206
Practice Address - Country:US
Practice Address - Phone:717-569-8518
Practice Address - Fax:717-569-3903
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007595L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics