Provider Demographics
NPI:1932182680
Name:LIPMAN, JEFFREY TYSON (RPH)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:TYSON
Last Name:LIPMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 CONOY ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1616
Mailing Address - Country:US
Mailing Address - Phone:717-236-0028
Mailing Address - Fax:888-792-7069
Practice Address - Street 1:3544 N PROGRESS AVE
Practice Address - Street 2:MORGAN HEALTHCARE AUDITS LLC
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9480
Practice Address - Country:US
Practice Address - Phone:717-540-0852
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP028100L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist