Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | R196779 | MD |
NPI | 1013193135 |
---|---|
Provider Name | Dabney Lipscomb |
First Address | Baltimore, MD 21264-2235 |
Second Address | Annapolis, MD 21401-7992 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2008 |
Last Update Date | 27/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000974200 | (05) | FL |
046613100 | (05) | MD |
97601601 | CAREFIRST MD ANNAPOLIS (01) | |
97601602 | CAREFIRST MD BOWIE (01) | |
97601603 | CAREFIRST MD PRINCE FREDERICK MD (01) | |
N4350007 | CAREFIRST DC (01) | |
X3640006 | CAREFIRST DC BOWIE (01) |