Provider Demographics
NPI:1467884304
Name:LIPPOLD, CASSIOPIA LORETTA (MD)
Entity Type:Individual
Prefix:MS
First Name:CASSIOPIA
Middle Name:LORETTA
Last Name:LIPPOLD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:CASSIOPIA
Other - Middle Name:LORETTA
Other - Last Name:CARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2005 TECHNOLOGY PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-9423
Mailing Address - Country:US
Mailing Address - Phone:717-988-5864
Mailing Address - Fax:717-221-5615
Practice Address - Street 1:2005 TECHNOLOGY PKWY STE 300
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-9413
Practice Address - Country:US
Practice Address - Phone:717-988-5864
Practice Address - Fax:717-221-5615
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD84822207RN0300X, 208M00000X
PAMD460452207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist