Gibson, Lisa Dawn

Gibson, Lisa Dawn is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-6373. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gibson, Lisa Dawn can be contacted via phone (615) 936-2000.

Contact Information

Primary practice address
3601 The Vanderbilt Clinic Nashville TN 37232-6373
Phone: (615) 936-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD15922 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD30447 Tennessee

Profile Details

NPI number 1518950575
LBN Legal business name Gibson, Lisa Dawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Mar 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518950575 NPPES
Tennessee MEDICAID 3897089

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