MS. Lawanda D Gibson, PRACTICALNURSE
MS. Lawanda D Gibson, PRACTICALNURSE is a Licensed Practical Nurse in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan and Ohio.
- Licensed in
- MI, OH
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
21415 Civic Center Dr Ste 302Southfield, MI 48076-3954
Phone: (484) 202-7023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 4703119637 (MI) |
|---|---|
| Licensed Practical Nurse | Taxonomy 164W00000X · Licence 166730 (OH) |
Record details
| NPI number | 1558990432 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PRACTICALNURSE |
| Sole proprietor | Yes |
| NPI enumerated | April 3, 2020 |
| Last updated in NPPES | April 3, 2020 |
| Certification date | April 3, 2020 |
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