Provider Demographics
NPI:1780659789
Name:LIPSKIS, DONALD J (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:J
Last Name:LIPSKIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:205 BUSINESS PARK DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6535
Mailing Address - Country:US
Mailing Address - Phone:757-962-1083
Mailing Address - Fax:757-962-1254
Practice Address - Street 1:100 KINGSLEY LN
Practice Address - Street 2:SUITE 200
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-4604
Practice Address - Country:US
Practice Address - Phone:757-889-5351
Practice Address - Fax:757-489-0781
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2009-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101035298207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAROtherMULTIPLAN
VA006040721Medicaid
PAROtherVIRGINIA PREMIER HEALTH
-001OtherTRICARE/CHAMPUS
VA011576OtherANTHEM BC/BS
NC7906158Medicaid
PAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
NC06158OtherBC/BS NC
VA263654OtherUHC/MAMSI/MDIPA
PAROtherCORVEL/CORCARE
VA15088OtherOPTIMA HEALTH PLAN
PAROtherAETNA
VA249499OtherMAMSI
PAROtherVIRGINIA HEALTH NETWORK
PAROtherUSA MANAGED CARE
VA15792OtherSENTARA OHP/SHP
VA006041108Medicaid
VA250374OtherATHEM BC/BS VA/HK
PAROtherCIGNA
PAROtherUSA MANAGED CARE
VA249499OtherMAMSI
PAROtherMULTIPLAN
VA15792OtherSENTARA OHP/SHP
VA110006056Medicare PIN