MEDICARE: ANN NAYLOR LIPSCOMB F.N.P., R.N.

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
1	363LF0000X	Family Nurse Practitioner	522153	TX

General Provider Information

NPI Number	:	1689648586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN NAYLOR LIPSCOMB F.N.P., R.N.

Provider Business Mailing Address
First Line	:	3510 BASFORD RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78722-1306
Country	:	US
Telephone Number	:	512-472-7270
Fax Number	:	512-439-0702

Provider Business Practice Location Address
First Line	:	7000 WOODHUE DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-5454
Country	:	US
Telephone Number	:	512-439-0101
Fax Number	:	512-439-0702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	07/08/2007

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