Provider Demographics
NPI:1730359597
Name:LIPMAN, LORI HOFFMAN (MA, CCC/SLP)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:HOFFMAN
Last Name:LIPMAN
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1827 COUNTRY MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-3104
Mailing Address - Country:US
Mailing Address - Phone:702-616-9165
Mailing Address - Fax:
Practice Address - Street 1:3041 W HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE 150
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3948
Practice Address - Country:US
Practice Address - Phone:702-561-3174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-643235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist