Provider Demographics
NPI:1659358521
Name:LIPMAN, MADELYN B (MD)
Entity Type:Individual
Prefix:DR
First Name:MADELYN
Middle Name:B
Last Name:LIPMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9897 HAGEN RANCH RD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-7400
Mailing Address - Country:US
Mailing Address - Phone:561-364-7774
Mailing Address - Fax:561-364-7775
Practice Address - Street 1:9897 HAGEN RANCH RD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-7400
Practice Address - Country:US
Practice Address - Phone:561-364-4447
Practice Address - Fax:561-364-7775
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0038209207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD78934Medicare UPIN