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Individual
LISA D LEMLEY GIBSON
Active
Individual
LISA D LEMLEY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.002146RX
OH
363A00000X
Physician Assistant
PA1116
KY
363A00000X
Physician Assistant
Primary
PA9113789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000593569
ANTHEM BCBS
KY
05
—
0146148
—
OH
05
—
7100063860
—
KY
01
—
P00688242
RR MEDICARE
KY
Enumeration date
12/01/2006
Last updated
06/16/2026
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