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General NPI Number Information
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NPI Number | 1679056345
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Entity Type | Individual
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Provider Name | LISA LIPTON LMFT PSY.D
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Gender | Female
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 5300 BEETHOVEN ST # A
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City | LOS ANGELES
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State | CA
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Zip | 90066-7069
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Country | US
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Telephone | 310-462-1361
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Fax |
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Provider Business Mailing Address
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Address Line | 2632 WILSHIRE BLVD STE 370
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City | SANTA MONICA
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State | CA
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Zip | 90403-4623
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Country | US
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Telephone | 832-215-5510
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT135385
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License Number State | CA
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