Individual
MR. CHAUNCEY LYDELL LIPSCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5130 HICKORY LAKE DR, INDIANAPOLIS, IN 46235-6825
(317) 222-9458
Mailing address
5130 HICKORY LAKE DR, INDIANAPOLIS, IN 46235-6825
(317) 222-9458
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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