Doctor Name: | DABNEY LIPSCOMB |
NPI Number: | 1013193135 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R196779 |
Business Practice Address: | 2003 Medical Pkwy Wayson Pavilion, Suite 150 Annapolis, MD - 214017992 |
Business Phone Number: | 4434811199 |
Business Fax Number: | 4434811495 |
Mailing Address: | Po Box 62235, BALTIMORE |
State: | MD |
Postal Code: | 212642235 |
Phone Number: | 4434816572 |
Fax Number: | 4434816515 |
NPI Enumeration Date: | 01/18/2008 |
NPI Last Update Date: | 03/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | R196779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |