SHANE LIPSCOMB

BRISTOL, PA
NPI1982471470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26NJ01333200)
Enumeration Date2023-12-05
Last Update Date2023-12-07
Business Address
SHANE LIPSCOMB
905 TOWER RD
BRISTOL, PA 19007-3116
Phone number: 443-383-9300
Mailing Address
SHANE LIPSCOMB
909 RIDGEBROOK RD STE 300
SPARKS, MD 21152-9477
Phone number: 443-483-9300