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NPI Code Detail

MEDICARE: ROBERT LANE TIPPENS M.D.

MEDICARE:   ROBERT LANE TIPPENS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD0000014803TN

General Provider Information

NPI Number : 1346552932
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT LANE TIPPENS M.D.
Provider Business Mailing Address
First Line : 1200 FLEET GUARD RD
Second Line :
City : COOKEVILLE
State : TN
Zip : 38506
Country : US
Telephone Number : 931-528-9499
Fax Number :
Provider Business Practice Location Address
First Line : 205 MILLER SPRINGS COURT
Second Line : ATTN: CBO
City : FRANKLIN
State : TN
Zip : 37064-5434
Country : US
Telephone Number : 931-528-9499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2010
Last Update Date : 07/14/2010

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Directions to “ ROBERT LANE TIPPENS M.D.” Practice Location

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