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NPI Code Detail

MEDICARE: WILLIAM L LIPPERT III M.D.

MEDICARE:   WILLIAM L LIPPERT III M.D.
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
1207L00000XAnesthesiology Physician25034CO
2207LP2900XPain Medicine (Anesthesiology) Physician25034CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2050047444OTHERCORAILROAD MEDICARE NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689641953
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM L LIPPERT III M.D.
Provider Business Mailing Address
First Line : 6011 E WOODMEN RD
Second Line : SUITE 365
City : COLORADO SPRINGS
State : CO
Zip : 80923-2606
Country : US
Telephone Number : 719-380-7246
Fax Number : 719-380-8282
Provider Business Practice Location Address
First Line : 6011 E WOODMEN RD
Second Line : SUITE 365
City : COLORADO SPRINGS
State : CO
Zip : 80923-2606
Country : US
Telephone Number : 719-380-7246
Fax Number : 719-380-8282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2006
Last Update Date : 04/10/2015

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Directions to “ WILLIAM L LIPPERT III M.D.” Practice Location

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