Provider Demographics
NPI:1457441768
Name:LIPCHIN, NATALYA (NP)
Entity Type:Individual
Prefix:
First Name:NATALYA
Middle Name:
Last Name:LIPCHIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 SACO ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02464-1319
Mailing Address - Country:US
Mailing Address - Phone:617-796-9744
Mailing Address - Fax:617-796-9744
Practice Address - Street 1:2000 WASHINGTON ST
Practice Address - Street 2:BLUE BILDING, SUITE 420
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1650
Practice Address - Country:US
Practice Address - Phone:617-630-9823
Practice Address - Fax:617-630-4481
Is Sole Proprietor?:No
Enumeration Date:2006-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA237449163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALINP3987Medicare ID - Type UnspecifiedPROVIDER