Individual provider · Type 1 NPI

Mary Nicole Lillian Lipscomb, PA-C

Physician Assistant · Santa Maria, CA

NPI number 1265056170 Active

Practice location

2271 S Depot St
Santa Maria, CA 93455-1216

Call (805) 739-3805 Map

Fax (805) 739-3806

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X60009 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1265056170

Mary Nicole Lillian Lipscomb, PA-C's National Provider Identifier is 1265056170, issued on Jun 5, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Santa Maria, CA. The record was last updated on Jul 1, 2026.