Provider Demographics
NPI:1356107379
Name:LIPSCH, HANNAH CLAIR
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:CLAIR
Last Name:LIPSCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3463 CARAVELLE ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-1253
Mailing Address - Country:US
Mailing Address - Phone:727-488-1463
Mailing Address - Fax:
Practice Address - Street 1:3847 S SCHOOL AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6240
Practice Address - Country:US
Practice Address - Phone:941-951-2161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant