Individual
LORI ANN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7815 NORMANDIE BLVD, MIDDLEBURG HEIGHTS, OH 44130-8827
(216) 471-0833
Mailing address
13028 HAMPTON CLUB DR APT 103, NORTH ROYALTON, OH 44133-7456
(216) 471-0833
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
1831830
OH
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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