Individual
DR. LYNN ARTHUR GIBNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5388 W 10TH ST, SPEEDWAY, IN 46224-6818
(317) 241-2107
(317) 240-1198
Mailing address
5388 W 10TH ST, SPEEDWAY, IN 46224-6818
(317) 241-2107
(317) 240-1198
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000385A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100061860
—
IN
Enumeration date
06/04/2006
Last updated
07/21/2010
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