Individual
DR. RACHELE ANN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S.P.H.
Contact information
Practice address
1203 S TYLER ST STE 200, COVINGTON, LA 70433-2353
(985) 892-9143
Mailing address
1203 S TYLER ST STE 200, COVINGTON, LA 70433-2353
(985) 892-9143
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
310114
LA
207RP1001X
Pulmonary Disease Physician
N8296
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310114
LICENSE
LA
Enumeration date
12/02/2008
Last updated
11/09/2020
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