Individual provider · Type 1 NPI

Katie Lucille Lippman, PA-C

Medical Physician Assistant · Jacksonville, FL

NPI number 1699453514 Active

Practice location

10140 Centurion Pkwy N
Jacksonville, FL 32256-0532

Fax (904) 697-5102

Mailing address

1111 Hyde Ct
Longwood, FL 32750-2943

Other practice locations

  • 500 Winderley Pl Ste 115, Maitland, FL 32751-7406 · (407) 875-0555

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1699453514

Katie Lucille Lippman, PA-C's National Provider Identifier is 1699453514, issued on Jul 10, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 23, 2026.