Provider Demographics
NPI:1598911133
Name:LIPMAN, RICHARD LEWIS (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LEWIS
Last Name:LIPMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7241 SW 63RD AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4838
Mailing Address - Country:US
Mailing Address - Phone:305-670-3259
Mailing Address - Fax:305-667-2515
Practice Address - Street 1:7241 SW 63RD AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4838
Practice Address - Country:US
Practice Address - Phone:305-670-3259
Practice Address - Fax:305-667-2515
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15234207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME 15234OtherLICENSE NUMBER
FLME 15234OtherLICENSE NUMBER
FLD82581Medicare UPIN