Gibbon, Lacy

Gibbon, Lacy is an individual health care provider with primary practice located at 949 E Taft Ave , Sapulpa OK 74066-5728. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gibbon, Lacy can be contacted via phone (918) 224-6079.

Contact Information

Primary practice address
949 E Taft Ave Sapulpa OK 74066-5728
Phone: (918) 224-6079
Fax: (918) 224-6126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 117838 Oklahoma

Profile Details

NPI number 1699384438
LBN Legal business name Gibbon, Lacy
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2020
Last updated Jul 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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