Provider Demographics
NPI:1982913364
Name:LIPSCOMBE, DAWN KEENA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:KEENA
Last Name:LIPSCOMBE
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Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:7525 GREENWAY CENTER DRIVE
Mailing Address - Street 2:SUITE T4
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770
Mailing Address - Country:US
Mailing Address - Phone:301-345-2463
Mailing Address - Fax:301-345-7653
Practice Address - Street 1:7525 GREENWAY CENTER DRIVE
Practice Address - Street 2:SUITE T4
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770
Practice Address - Country:US
Practice Address - Phone:301-345-2463
Practice Address - Fax:301-345-7653
Is Sole Proprietor?:No
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
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Provider Licenses
StateLicense IDTaxonomies
MDR084686363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily