Lipka, John M

Lipka, John M is an individual health care provider with primary practice located at 425 S Vine St , Bastrop LA 71220-4513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Lipka, John M can be contacted via phone (318) 281-5422.

Contact Information

Primary practice address
425 S Vine St Bastrop LA 71220-4513
Phone: (318) 281-5422
Fax: (318) 281-4416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1021611 Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1021611 Louisiana

Profile Details

NPI number 1811972284
LBN Legal business name Lipka, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Sep 12th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811972284 NPPES
Louisiana MEDICAID 1494933

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