Provider Demographics
NPI:1558314070
Name:LIPINSKI, LORI ANN (DNP; ARNP-BC)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:ANN
Last Name:LIPINSKI
Suffix:
Gender:F
Credentials:DNP; ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 KENTUCKY AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-3800
Mailing Address - Country:US
Mailing Address - Phone:270-415-7653
Mailing Address - Fax:270-575-8359
Practice Address - Street 1:4754 US HIGHWAY 62
Practice Address - Street 2:
Practice Address - City:CALVERT CITY
Practice Address - State:KY
Practice Address - Zip Code:42029-8456
Practice Address - Country:US
Practice Address - Phone:270-415-7780
Practice Address - Fax:270-415-7779
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000012277363LF0000X
LA04797363LF0000X
KY3423P363LF0000X
IL209005851363LF0000X
KY3003423363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78005253Medicaid
KY78005253Medicaid
0927135Medicare PIN
KYP26795Medicare UPIN