Lemley Gibson, Lisa D

Lemley Gibson, Lisa D is an individual health care provider with primary practice located at 1699 S 14Th St Ste 16 , Fernandina Beach FL 32034-1965. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lemley Gibson, Lisa D can be contacted via phone (904) 223-3321.

Contact Information

Primary practice address
1699 S 14Th St Ste 16 Fernandina Beach FL 32034-1965
Phone: (904) 223-3321
Fax: (904) 223-2169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1116 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.002146RX Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9113789 Florida

Profile Details

NPI number 1548338353
LBN Legal business name Lemley Gibson, Lisa D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Apr 22nd, 2021 - about 5 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 1548338353 NPPES
Ohio MEDICAID 0146148
Ohio MEDICAID 7100063860
Ohio Other P00688242
Ohio Other 000000593569

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