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Individual
LAUREN SIMPSON TIPTON
Active
Individual
LAUREN SIMPSON TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36051
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360512
—
SC
Enumeration date
06/25/2013
Last updated
07/21/2016
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