Lippincott, Lisa Theresa

Lippincott, Lisa Theresa is an sole proprietor health care provider with primary practice located at 210 E Main St Ste D , Tupelo MS 38804-4017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lippincott, Lisa Theresa can be contacted via phone (662) 205-6905.

Contact Information

Primary practice address
210 E Main St Ste D Tupelo MS 38804-4017
Phone: (662) 205-6905
Fax: (662) 269-6722
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN18181 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R679054 Mississippi

Profile Details

NPI number 1750416905
LBN Legal business name Lippincott, Lisa Theresa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jul 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750416905 NPPES
Mississippi MEDICAID 02974702

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