Individual
DIANE C LIPSCOMB
Active
Individual
DIANE C LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2012034747
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780677732
—
MO
05
—
195052001
—
AR
05
—
200209400 A
—
OK
01
—
431560263
TRICARE
MO
01
—
P01116103
RR MCR
MO
Enumeration date
08/24/2005
Last updated
03/09/2026
Update your record
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