Gibson, Lori A

Gibson, Lori A is an individual health care provider with primary practice located at 205 Noble Creek Dr , Noblesville IN 46060-3117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gibson, Lori A can be contacted via phone (317) 773-8483.

Contact Information

Primary practice address
205 Noble Creek Dr Noblesville IN 46060-3117
Fax: (317) 776-0442
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71003364A Indiana

Profile Details

NPI number 1235444209
LBN Legal business name Gibson, Lori A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2010
Last updated Sep 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235444209 NPPES
Indiana MEDICAID 201019130

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