Basic Information
| Provider Information | |||||||||
| NPI: | 1497789994 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LIPPIN | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11 HAP ARNOLD BLVD | ||||||||
| Address2: | OCCUPATIONAL HEALTH CLINIC-TOBYHANNA ARMY DEPOT | ||||||||
| City: | TOBYHANNA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 184665083 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5708956242 | ||||||||
| FaxNumber: | 5708956783 | ||||||||
| Practice Location | |||||||||
| Address1: | 11 HAP ARNOLD BLVD | ||||||||
| Address2: | OCCUPATIONAL HEALTH CLINIC-TOBYHANNA ARMY DEPOT | ||||||||
| City: | TOBYHANNA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 184665002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5708956242 | ||||||||
| FaxNumber: | 5708956783 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2006 | ||||||||
| LastUpdateDate: | 01/29/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2083P0500X | MD013443E | PA | Y | Allopathic & Osteopathic Physicians | Preventive Medicine | Preventive Medicine/Occupational Environmental Medicine |
No ID Information.