Individual
MS. TICARIA LYNNE LIPSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
190 HANDLEY RD, SUITE A, TYRONE, GA 30290-2178
(770) 997-5714
Mailing address
190 HANDLEY RD, SUITE A, TYRONE, GA 30290-2178
(770) 997-5714
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
068058
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126108A
—
GA
Enumeration date
08/14/2007
Last updated
04/07/2016
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