Individual
MS. LISA LYNN GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S. M.H.S.
Contact information
Practice address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8500
(870) 240-8505
Mailing address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8500
(870) 240-8505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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