MEDICARE: DR. HOWARD MARK LIPMAN 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	S0-1551	MD

General Provider Information

NPI Number	:	1578560694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD MARK LIPMAN DC

Provider Business Mailing Address
First Line	:	11951 REISTERSTOWN RD
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-3030
Country	:	US
Telephone Number	:	410-517-2400
Fax Number	:	410-517-8114

Provider Business Practice Location Address
First Line	:	11951 REISTERSTOWN RD
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-3030
Country	:	US
Telephone Number	:	410-517-2400
Fax Number	:	410-517-8114

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	07/08/2007

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