Provider Demographics
NPI:1831309889
Name:LIFTON, ERIC E (MA)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:E
Last Name:LIFTON
Suffix:
Gender:M
Credentials:MA
Other - Prefix:MR
Other - First Name:ERIC
Other - Middle Name:E
Other - Last Name:LIFTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:38 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-2231
Mailing Address - Country:US
Mailing Address - Phone:978-356-1927
Mailing Address - Fax:
Practice Address - Street 1:38 SUMMER ST
Practice Address - Street 2:
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938-2231
Practice Address - Country:US
Practice Address - Phone:978-356-1927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health