Individual
LAUREN GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
185 S ORANGE AVE # MSBE-506, NEWARK, NJ 07103-2757
(404) 616-1692
(404) 616-4131
Mailing address
185 S ORANGE AVE # MSBE-506, NEWARK, NJ 07103-2757
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
06/11/2024
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