Provider Demographics
NPI:1962744490
Name:STEVEN H LIPSIUS MD PC
Entity type:Organization
Organization Name:STEVEN H LIPSIUS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:LIPSIUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-223-1765
Mailing Address - Street 1:908 NEW HAMPSHIRE AVE NW
Mailing Address - Street 2:SUITE 601
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2346
Mailing Address - Country:US
Mailing Address - Phone:202-223-1765
Mailing Address - Fax:202-223-1766
Practice Address - Street 1:908 NEW HAMPSHIRE AVE NW
Practice Address - Street 2:SUITE 601
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2346
Practice Address - Country:US
Practice Address - Phone:202-223-1765
Practice Address - Fax:202-223-1766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD54462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
157697Medicare PIN