Lipson, Mindy J

Lipson, Mindy J is an individual health care provider with primary practice located at 5293 S Angela Rd , Memphis TN 38120-2203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lipson, Mindy J can be contacted via phone (901) 761-0422.

Contact Information

Primary practice address
5293 S Angela Rd Memphis TN 38120-2203
Phone: (901) 761-0422
Fax: (901) 683-8700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 60214 Tennessee

Profile Details

NPI number 1851378525
LBN Legal business name Lipson, Mindy J
Credentials RN/NP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Sep 4th, 2009 - about 17 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 1851378525 NPPES
Arkansas MEDICAID 149326758
Arkansas Other 99423
Arkansas MEDICAID QNP019
Arkansas MEDICAID 3349720
Arkansas MEDICAID 425861101
Arkansas MEDICAID 1138321
Arkansas MEDICAID 00126536
Arkansas MEDICAID 200390060A

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