| Doctor Name: | DR. RICHARD LIPPIN |
| NPI Number: | 1497789994 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD013443E |
| Business Practice Address: | 11 Hap Arnold Blvd Occupational Health Clinic-tobyhanna Army Depot Tobyhanna, PA - 184665002 |
| Business Phone Number: | 5708956242 |
| Business Fax Number: | 5708956783 |
| Mailing Address: | 11 Hap Arnold Blvd, Occupational Health Clinic-tobyhanna Army Depot TOBYHANNA |
| State: | PA |
| Postal Code: | 184665083 |
| Phone Number: | 5708956242 |
| Fax Number: | 5708956783 |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | MD013443E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |