Individual
MRS. JANE WADE LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
433 PLAZA STREET, SUITE A16, BOGALUSA, LA 70427
(985) 730-7066
(985) 730-7068
Mailing address
PO BOX 430, BOGALUSA, LA 70429-0430
(985) 730-6700
(985) 730-6709
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
05336R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1956031
—
LA
Enumeration date
07/24/2006
Last updated
01/07/2008
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