Individual
LORI CLOWARD TIPPETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
731 LEIGHTON AVE STE 300, ANNISTON, AL 36207-5762
(256) 236-4121
(256) 237-5254
Mailing address
731 LEIGHTON AVE STE 300, ANNISTON, AL 36207-5762
(256) 236-4121
(256) 237-5254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1418
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8674577
ALABAMA STATE LICENSE NUMBER PA 1418
AL
Enumeration date
01/21/2019
Last updated
04/17/2023
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