Individual
MICHAEL LOUIS LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6025 WALNUT GROVE RD STE 508, MEMPHIS, TN 38120-2125
(901) 767-5864
(901) 767-6591
Mailing address
6025 WALNUT GROVE RD STE 508, MEMPHIS, TN 38120-2125
(901) 767-5864
(901) 767-6591
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2689
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1533087
—
TN
Enumeration date
02/19/2013
Last updated
12/30/2020
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