Provider Demographics
NPI:1508424441
Name:LIPPMAN, HANNAH ALIZA
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ALIZA
Last Name:LIPPMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4430 N HOLLAND SYLVANIA RD APT 3101
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-3560
Mailing Address - Country:US
Mailing Address - Phone:954-707-2802
Mailing Address - Fax:
Practice Address - Street 1:4430 N HOLLAND SYLVANIA RD APT 3101
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3560
Practice Address - Country:US
Practice Address - Phone:954-707-2802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer