Provider Demographics
NPI:1598108615
Name:LIPPITT, MELISSA HACHEN (MD)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:HACHEN
Last Name:LIPPITT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:HACHEN
Other - Last Name:WEINROBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:600 N WOLFE ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-1824
Mailing Address - Country:US
Mailing Address - Phone:410-955-6553
Mailing Address - Fax:
Practice Address - Street 1:2650 RIDGE AVE # G800
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1700
Practice Address - Country:US
Practice Address - Phone:847-570-2639
Practice Address - Fax:847-570-1041
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0083089207V00000X
IL036152920207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology