Dr. John Kenneth Lippincott, MD

Ophthalmology in Portland, ME. Individual provider (NPI-1).

NPI number1871094110

StatusActive

Last updated in NPPESSep 17, 2024

Details

NPI: 1871094110
Entity type: Individual (NPI-1)
Name: Dr. John Kenneth Lippincott
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Feb 22, 2018
Certification date: Sep 17, 2024
Last updated: Sep 17, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207W00000X	Ophthalmology	MD28019	ME	Yes
207W00000X	Ophthalmology	76892	WI
207WX0110X	Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist	76892	WI

Practice location

53 Sewall St
Portland, ME 04102-2625

Phone 207-828-2020 Â· Fax 207-773-7034

Mailing address

53 Sewall St
Portland, ME 04102-2625

Phone 207-828-2020 Â· Fax 207-773-7034

Other practice locations

925 N 87th St
Milwaukee, WI 53226-4812

Phone 414-955-2020 Â· Fax 414-955-6300

9000 W Wisconsin Ave
Milwaukee, WI 53226-4874

Phone 414-266-2020 Â· Fax 414-266-2027

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