| NPI | 1073896890 |
|---|---|
| Doing Business As | LIPCA HEALTH |
| Entity Type | Organization |
| Authorized Contact | CHARLES ROGER TIMSON Partner 631-351-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |