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1982471470
SHANE LIPSCOMB
BRISTOL, PA
NPI
1982471470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ01333200)
Enumeration Date
2023-12-05
Last Update Date
2023-12-07
Business Address
SHANE LIPSCOMB
905 TOWER RD
BRISTOL, PA 19007-3116
Phone number: 443-383-9300
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Mailing Address
SHANE LIPSCOMB
909 RIDGEBROOK RD STE 300
SPARKS, MD 21152-9477
Phone number: 443-483-9300
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