Individual
DR. LYNDSAY R SHIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1626 HIGHWAY 30 EAST, OXFORD, MS 38655
(662) 371-1326
(662) 371-1325
Mailing address
PO BOX 1158, OXFORD, MS 38655-1158
(662) 371-1326
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2300
MS
207N00000X
Dermatology Physician
23000
MS
207R00000X
Internal Medicine Physician
T-2359
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23000
MEDICAL LICENSE
MS
01
—
T-2359
MS TEMP MEDICAL LICENSE
MS
Enumeration date
07/08/2010
Last updated
09/21/2023
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