Provider Demographics
NPI:1497518062
Name:LIPPS, LORNE J
Entity Type:Individual
Prefix:MR
First Name:LORNE
Middle Name:J
Last Name:LIPPS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 526
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44003-0526
Mailing Address - Country:US
Mailing Address - Phone:440-969-0554
Mailing Address - Fax:
Practice Address - Street 1:6597 STATE ROUTE 7
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:OH
Practice Address - Zip Code:44003-9534
Practice Address - Country:US
Practice Address - Phone:440-969-0554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker