MEDICARE: RAMI LIPSON DC

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	111N00000X	Chiropractor	5729	AZ

General Provider Information

NPI Number	:	1467447979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMI LIPSON DC

Provider Business Mailing Address
First Line	:	4400 N 32ND ST
Second Line	:	STE 110
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3953
Country	:	US
Telephone Number	:	602-956-9595
Fax Number	:	602-956-3232

Provider Business Practice Location Address
First Line	:	4400 N 32ND ST
Second Line	:	STE 110
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3953
Country	:	US
Telephone Number	:	602-956-9595
Fax Number	:	602-956-3232

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	04/01/2011

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Directions to “ RAMI LIPSON DC” Practice Location

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