Healthcare Provider Details

I. General information

NPI: 1609452267
Provider Name (Legal Business Name): HADLEY ELIZABETH LIPANA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HADLEY ELIZABETH GUNNELL MD

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HOSPITAL PKWY
MOUNT VERNON WA
98274-2100
US

IV. Provider business mailing address

300 HOSPITAL PKWY
MOUNT VERNON WA
98274-2100
US

V. Phone/Fax

Practice location:
  • Phone: 360-424-4111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD61513837
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: