Gibson, Laura L

Gibson, Laura L is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Infectious Disease, Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Gibson, Laura L can be contacted via phone (774) 441-8230.

Contact Information

Primary practice address
55 Lake Ave N Department Of Infectious Disease Worcester MA 01655-0002
Phone: (774) 441-8230
Fax: (508) 334-3428
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 157967 Massachusetts
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 157967 Massachusetts

Profile Details

NPI number 1801877535
LBN Legal business name Gibson, Laura L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Mar 3rd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801877535 NPPES
Massachusetts MEDICAID 110003152A

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