Provider Demographics
NPI:1659377224
Name:LIPSON, ANA D (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:D
Last Name:LIPSON
Suffix:
Gender:F
Credentials:MD
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 9442
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33883-9442
Mailing Address - Country:US
Mailing Address - Phone:863-293-4800
Mailing Address - Fax:863-293-4410
Practice Address - Street 1:210 1ST ST N
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-4526
Practice Address - Country:US
Practice Address - Phone:863-293-4800
Practice Address - Fax:863-293-4410
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2021-03-04
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-03-28
Provider Licenses
StateLicense IDTaxonomies
FLME 0062738207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G20273Medicare UPIN
FLEJ880AMedicare PIN
G20273Medicare UPIN