Individual
LYNNE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
485 WILDWOOD PKWY STE 4, BALLWIN, MO 63011-2667
(636) 345-5100
(636) 216-0346
Mailing address
177 CLARKSON EXECUTIVE PARK, ELLISVILLE, MO 63011-2176
(636) 628-7909
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2015026851
MO
Other
Enumeration date
10/14/2015
Last updated
06/18/2021
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