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MRS. JANE WADE LIPSCOMB MD

Physicians Pathology Cytopathology

Provider NPI: 1518989029

Provider Information:
MRS. JANE WADE LIPSCOMB MD
Gender: F
Not Sole Proprietor

Practice Location:
433 PLAZA STREET SUITE A16 BOGALUSA, LA 70427 US
Tel: 985-730-7066  Fax: 985-730-7068

Business Mailing Address:
PO BOX 430  BOGALUSA, LA 70429-0430 US
Tel: 985-730-6700  Fax: 985-730-6709

NPI Information:
NPI: 1518989029
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207ZC0500XPhysicians
Pathology
Cytopathology
LA05336R

Other Provider Identifiers:

IssuerNumberStateType
1956031LA05



American Medical Association 2012 taxonomy code information

Code: 207ZC0500X

Type:

Classification:



Definition:



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