Diane C Lipscomb in Springfield - Pediatric Critical Care Medicine

Diane C Lipscomb - NPI 1780677732

Diane C Lipscomb is a Pediatric Critical Care Medicine in Springfield, Missouri. Diane C Lipscomb practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Diane C Lipscomb is 1780677732. The last update date is 2015-02-26.

Diane C Lipscomb's current location address is 1235 E Cherokee St, Springfield, Missouri. You can contact this provider via phone number 4178295400 and fax number 4178207129. The mailing address for Diane C Lipscomb is 1235 E Cherokee St, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane C Lipscomb
Address 1235 E Cherokee St, Springfield, Missouri
Phone Number 4178295400
Fax Number 4178207129
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1780677732
Provider Enumeration Date 2005-08-24
Last Updated Date 2015-02-26

Provider Mailing Address Detail

Address 1235 E Cherokee St
City Springfield
State Missouri (MO)
Post Code 658042203
Phone Number 4178295400
Fax Number 4178207129

Provider's Primary Taxonomy Detail

Speciality Pediatric Critical Care Medicine
Taxonomy 2080P0203X
Licence No 2012034747
Definition:
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1780677732 MO --
195052001 AR --
431560263 MO TRICARE
P01116103 MO RR MCR
200209400 A OK --

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FAQs about Diane C Lipscomb

What is the unique provider identifier assigned to Diane C Lipscomb?

The Diane C Lipscomb has been issued the NPI (National Provider Identifier) 1780677732 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Diane C Lipscomb is physically located?

The Diane C Lipscomb is physically situated at the following address: 1235 E Cherokee St, Springfield, MO, 658042203.

What is Diane C Lipscomb's specialized field of practice, and what is the corresponding taxonomy classification code?

The Diane C Lipscomb's area of specialization is Pediatric Critical Care Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080P0203X.

On what date did the Centers for Medicare & Medicaid Services assign the 1780677732 to Diane C Lipscomb?

The Centers for Medicare & Medicaid Services assigned the 1780677732 to Diane C Lipscomb on 2005-08-24.

When was the information pertaining to Diane C Lipscomb most recently updated or revised?

The details related to Diane C Lipscomb, including its address, specialty, and other relevant information, were last updated or revised on 2015-02-26.

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