Individual
JUSTIN TYLER LIPSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
611 E JUBAL EARLY DR, WINCHESTER, VA 22601-5178
(540) 536-5500
(540) 536-5507
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110007917
VA
Other
Enumeration date
07/19/2021
Last updated
01/31/2023
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