MEDICARE: DR. ANDREW JASON LIPMAN 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
1	207RX0202X	Medical Oncology Physician	ME96343	FL
2	207RH0000X	Hematology (Internal Medicine) Physician	ME96343	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00449451	OTHER	FL	RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1780654889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW JASON LIPMAN M.D.

Provider Business Mailing Address
First Line	:	1392 WOOD DUCK TRL
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34108-3313
Country	:	US
Telephone Number	:	239-598-4256
Fax Number	:

Provider Business Practice Location Address
First Line	:	1392 WOOD DUCK TRL
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34108-3313
Country	:	US
Telephone Number	:	239-598-4256
Fax Number	:

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	01/07/2026

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Directions to “ DR. ANDREW JASON LIPMAN M.D.” Practice Location

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