Provider Demographics
NPI:1679225577
Name:DEBBIE LIPTON, P.A.
Entity Type:Organization
Organization Name:DEBBIE LIPTON, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:954-701-9600
Mailing Address - Street 1:11199 NW 77TH PL
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4710
Mailing Address - Country:US
Mailing Address - Phone:954-701-9600
Mailing Address - Fax:
Practice Address - Street 1:11199 NW 77TH PL
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-4710
Practice Address - Country:US
Practice Address - Phone:954-701-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101167600Medicaid