Lipscomb, Diane C
Lipscomb, Diane C is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Lipscomb, Diane C can be contacted via phone (417) 829-5400.Contact Information
Primary practice address
1235 E Cherokee St
Springfield MO 65804-2203
Phone: (417) 829-5400
Fax: (417) 820-7129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 2012034747 | Missouri |
Profile Details
| NPI number | 1780677732 |
|---|---|
| LBN Legal business name | Lipscomb, Diane C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Feb 26th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780677732 | NPPES |
| Missouri | MEDICAID | 1780677732 | |
| Missouri | MEDICAID | 195052001 | |
| Missouri | Other | 431560263 | |
| Missouri | Other | P01116103 | |
| Missouri | MEDICAID | 200209400 A |
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