| Benjamin E. Lippmann, D.o., P.a. | |
|
5302 S Florida Ave Ste 206 Lakeland FL 33813-4910 | |
| (863) 289-0968 | |
| Not Available |
| Full Name | Benjamin E. Lippmann, D.o., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5302 S Florida Ave Ste 206, Lakeland, Florida |
| Authorized Official Name and Position | Benjamin Elliot Lippmann (CEO) |
| Authorized Official Contact | 8632890968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin E. Lippmann, D.o., P.a. 5302 S Florida Ave Ste 206 Lakeland FL 33813-4910 Ph: (863) 289-0968 | Benjamin E. Lippmann, D.o., P.a. 5302 S Florida Ave Ste 206 Lakeland FL 33813-4910 Ph: (863) 289-0968 |
| NPI Number | 1407500390 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Medicare PECOS PAC ID | 3779960836 |
|---|---|
| Medicare Enrollment ID | O20220511002828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407500390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Benjamin Elliot Lippmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902141773 PECOS PAC ID: 1951696921 Enrollment ID: I20181115002264 |
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