Most Relevant Information
Provider Data
| NPI Number: | 1003554619 |
| Provider Name: | TRAVIS ALAN TIPTON RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN.418536 |
Most Important Dates
| Enumeration Date: | 05/24/2022 |
| Last Updated: | 05/24/2022 |
Provider Practice Location
1703 N MEMORIAL DR
LANCASTER
OH
431301634
Practice Location Phone/Fax
| Phone: | 7407731141 |
| Fax: |
Provider Mailing Location
17273 STATE ROUTE 104
CHILLICOTHE
OH
456019718
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |