Individual
DR. LAWRENCE L GIBSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
536 S TRIMBLE RD, MANSFIELD, OH 44906-3418
(419) 756-8899
(419) 756-6004
Mailing address
536 S TRIMBLE RD, MANSFIELD, OH 44906-3418
(419) 756-8899
(419) 756-6004
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
35035801G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214413
—
OH
Enumeration date
03/31/2006
Last updated
07/08/2007
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