Gibson, Lakeshia C
Gibson, Lakeshia C is an individual health care provider with primary practice located at 60 Fenwood Rd # 4174 , Boston MA 02115-6128. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Gibson, Lakeshia C can be contacted via phone (617) 732-5056.Contact Information
Primary practice address
60 Fenwood Rd # 4174
Boston MA 02115-6128
Phone: (617) 732-5056
Fax: (617) 738-8703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | 295334 | Massachusetts |
| Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | 292493 | Massachusetts |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | T-3567 | Mississippi |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 292493 | Massachusetts |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 295334 | Massachusetts |
Profile Details
| NPI number | 1043707763 |
|---|---|
| LBN Legal business name | Gibson, Lakeshia C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2018 |
| Last updated | Oct 27th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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