Individual
LORI A GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
205 NOBLE CREEK DR, NOBLESVILLE, IN 46060-3117
(317) 773-8483
(317) 776-0442
Mailing address
PO BOX 775985, CHICAGO, IL 60677-5985
(317) 770-6900
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71003364A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201019130
—
IN
Enumeration date
08/13/2010
Last updated
09/24/2020
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