| NPI | 1053068734 |
|---|---|
| Other Name | KATY ROSE LIPSCOMB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0009113) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA15520) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2025-11-13 |