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NPI Code Detail

MEDICARE: LATRICE LIPSCOMB LMT

MEDICARE: LATRICE LIPSCOMB LMT
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
1225700000XMassage TherapistMT148438TX

General Provider Information

NPI Number : 1669315693
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATRICE LIPSCOMB LMT
Provider Business Mailing Address
First Line : 2251 DOUBLE CREEK DR STE 304
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-3831
Country : US
Telephone Number : 512-864-5156
Fax Number :
Provider Business Practice Location Address
First Line : 2251 DOUBLE CREEK DR STE 304
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-3831
Country : US
Telephone Number : 512-864-5156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ LATRICE LIPSCOMB LMT” Practice Location

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