Individual
ROSS ALDEN LIPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 EMERSON BAY RD STE 102, CAROLINA SHORES, NC 28467-2498
(910) 579-8363
(910) 579-8306
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5018121
NC
363LF0000X
Family Nurse Practitioner
5018121
NC
Other
Enumeration date
05/26/2023
Last updated
08/07/2023
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