Individual provider · Type 1 NPI

Lawrence Eidref Santiago Lipana, MD

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1255658076 Active

Practice location

333 Cedar St # 3, Yusm Department Of Anesthesiology
New Haven, CT 06510-3206

Call (203) 688-9503 Map

Mailing address

393 E Walnut St, Phr Group Provider Enrollment Unit 3rd Fl
Pasadena, CA 91188-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255658076

Lawrence Eidref Santiago Lipana, MD's National Provider Identifier is 1255658076, issued on May 4, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on Dec 8, 2021.