Provider Demographics
NPI:1528095650
Name:LIPTON, JUDITH EVE (MD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:EVE
Last Name:LIPTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20006 NE 116TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-9610
Mailing Address - Country:US
Mailing Address - Phone:425-885-9665
Mailing Address - Fax:425-882-2077
Practice Address - Street 1:20006 NE 116TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-9610
Practice Address - Country:US
Practice Address - Phone:425-885-9665
Practice Address - Fax:425-882-2077
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000149862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry