MEDICARE: BARBARA RENA LIPSCOMB

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1942132469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA RENA LIPSCOMB

Provider Business Mailing Address
First Line	:	4552 LONGTREE AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38128-7447
Country	:	US
Telephone Number	:	901-245-8022
Fax Number	:	901-740-2888

Provider Business Practice Location Address
First Line	:	4552 LONGTREE AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38128-7447
Country	:	US
Telephone Number	:	901-245-8022
Fax Number	:	901-740-2888

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ BARBARA RENA LIPSCOMB ” Practice Location

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