Provider Demographics
NPI:1912969767
Name:LIPPMAN, H. ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:H.
Middle Name:ROBERT
Last Name:LIPPMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HARRY
Other - Middle Name:ROBERT
Other - Last Name:LIPPMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1201 BROAD ROCK BLVD
Mailing Address - Street 2:LAB (113) MCGUIRE VAMC
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23249-0001
Mailing Address - Country:US
Mailing Address - Phone:804-675-5113
Mailing Address - Fax:804-675-5518
Practice Address - Street 1:1201 BROAD ROCK BLVD
Practice Address - Street 2:LAB (113) MCGUIRE VAMC
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23249-0001
Practice Address - Country:US
Practice Address - Phone:804-675-5113
Practice Address - Fax:804-675-5518
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101028953207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology