Provider Demographics
NPI:1972628808
Name:LIPMAN, NANCY E (LIC AC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:E
Last Name:LIPMAN
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BIGELOW ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-2384
Mailing Address - Country:US
Mailing Address - Phone:617-576-7400
Mailing Address - Fax:
Practice Address - Street 1:6 BIGELOW ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-2384
Practice Address - Country:US
Practice Address - Phone:617-576-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA324171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist