Individual
DR. LAWRENCE JOHN GILGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6160 N DAVIS HWY STE 9C, PENSACOLA, FL 32504-6967
(850) 479-7474
(850) 479-8908
Mailing address
6160 N DAVIS HWY STE 9C, PENSACOLA, FL 32504-6967
(850) 479-7474
(850) 479-8908
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0002225
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74344
BCBS
FL
01
—
PY0002225
PSYCH LICENSE #
FL
Enumeration date
05/11/2007
Last updated
07/08/2007
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