MEDICARE: DR. ANDREW JAY LIPTON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0214X	Pediatric Pulmonology Physician	DR.0066248	CO

General Provider Information

NPI Number	:	1245278308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW JAY LIPTON MD

Provider Business Mailing Address
First Line	:	10 CENTER DR MSC 1473 BLDG 10-CRC RM 5-1408
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20892-0001
Country	:	US
Telephone Number	:	301-451-4950
Fax Number	:	301-480-0262

Provider Business Practice Location Address
First Line	:	10 CENTER DR MSC 1473 BDG 10-CRC RM 5-1408
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20889-5630
Country	:	US
Telephone Number	:	301-451-4950
Fax Number	:	301-480-0262

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	05/11/2022

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