Individual
LAURA JILL TIBBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2018 JAMISON DRIVE, LAWRENCEBURG, IN 47025-8436
(812) 496-8773
Mailing address
PO BOX 4125, LAWRENCEBURG, IN 47025
(812) 637-2082
(812) 637-1103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01054918A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0941324
—
OH
05
—
200349640
—
IN
Enumeration date
03/14/2006
Last updated
08/02/2024
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