Individual
MS. DEANNA MARIE LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 PEPSI COLA DR, JHU HEALTH AND WELLNESS CENTER, LATHAM, NY 12110-2306
(518) 782-2479
Mailing address
1 PEPSI COLA DR, LATHAM, NY 12110-2306
(518) 782-2479
(518) 783-2634
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012912
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03524747
—
NY
Enumeration date
12/09/2008
Last updated
03/24/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us