Doctor Name: | DR. KAREN DENISE LIPFORD |
NPI Number: | 1417206343 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP1802502 |
Business Practice Address: | 100 Main Street Chattahoochee, FL - 32324 |
Business Phone Number: | 8506637586 |
Business Fax Number: | |
Mailing Address: | 4324 Wilton Street, MARIANNA |
State: | FL |
Postal Code: | 32446 |
Phone Number: | 8502097829 |
Fax Number: | |
NPI Enumeration Date: | 09/06/2012 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | ARNP1802502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |