Individual
VIVIAN L LIPSCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 W AIRLINE AVE, GASTONIA, NC 28052-2057
(980) 363-0642
Mailing address
1030 W AIRLINE AVE, GASTONIA, NC 28052-2057
(980) 363-0642
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
566278
NC
Other
Enumeration date
01/16/2023
Last updated
01/17/2023
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