MEDICARE: SENIOR HEALTH NOW LLC

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	017954	LA

General Provider Information

NPI Number	:	1487949814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR HEALTH NOW LLC

Provider Business Mailing Address
First Line	:	2326 LINE AVE
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71104-2131
Country	:	US
Telephone Number	:	318-617-6029
Fax Number	:	318-670-1253

Provider Business Practice Location Address
First Line	:	2326 LINE AVE
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71104-2131
Country	:	US
Telephone Number	:	318-617-6029
Fax Number	:	318-670-1253

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. HOWARD LIPPTON
Credential	:	MD
Telephone Number	:	318-617-6029

Provider Enumeration Date	:	06/14/2011
Last Update Date	:	06/14/2011

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Directions to “SENIOR HEALTH NOW LLC ” Practice Location

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