Gibson, Lawrence L

Gibson, Lawrence L is an individual health care provider with primary practice located at 536 S Trimble Rd , Mansfield OH 44906-3418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Gibson, Lawrence L can be contacted via phone (419) 756-8899.

Contact Information

Primary practice address
536 S Trimble Rd Mansfield OH 44906-3418
Fax: (419) 756-6004
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 35035801G Ohio

Profile Details

NPI number 1326009945
LBN Legal business name Gibson, Lawrence L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1326009945 NPPES
Ohio MEDICAID 0214413

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