Individual
MRS. LISA J GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
1760 MCCULLOCH BLVD N, STE. 100, LAKE HAVASU CITY, AZ 86403-6559
(928) 854-5368
(928) 854-4462
Mailing address
1760 MCCULLOCH BLVD N, STE. 100, LAKE HAVASU CITY, AZ 86403-6559
(928) 854-5368
(928) 854-4462
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA0075
AZ
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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