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Individual

JUDY K LIPSCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C-FNP

Contact information

Practice address
401 N PIKE ST, GRAFTON, WV 26354-1268
(304) 265-1350
(304) 265-0295
Mailing address
686 S PIKE ST, STE A, SHINNSTON, WV 26431-1043
(304) 624-4655
(304) 624-3918

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21253
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7103005000
WV
Enumeration date
09/16/2006
Last updated
11/15/2007
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