Provider Demographics
NPI:1396565594
Name:LIPSON, LENA M
Entity type:Individual
Prefix:
First Name:LENA
Middle Name:M
Last Name:LIPSON
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 1:3488 SENECA FARM DR
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-8401
Mailing Address - Country:US
Mailing Address - Phone:678-245-2253
Mailing Address - Fax:
Practice Address - Street 1:3488 SENECA FARM DR
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-8401
Practice Address - Country:US
Practice Address - Phone:470-722-4348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-12
Last Update Date:2024-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No172A00000XOther Service ProvidersDriver
No173C00000XOther Service ProvidersReflexologist
No174200000XOther Service ProvidersMeals
No174H00000XOther Service ProvidersHealth Educator
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No251E00000XAgenciesHome Health
No332U00000XSuppliersHome Delivered Meals
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No372600000XNursing Service Related ProvidersAdult Companion
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner
No101200000XBehavioral Health & Social Service ProvidersDrama Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No102X00000XBehavioral Health & Social Service ProvidersPoetry Therapist