| Ms Lawanda D Gibson, PRACTICAL NURSE | |
|
21415 Civic Center Dr Ste 302, Southfield, MI 48076-3954 | |
| (484) 202-7023 | |
| Not Available |
| Full Name | Ms Lawanda D Gibson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 21415 Civic Center Dr Ste 302, Southfield, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558990432 | NPI | - | NPPES |
| G125488135293 | Other | MI | MI STATE DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 166730 (Ohio) | Secondary |
| 164W00000X | Licensed Practical Nurse | 4703119637 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lawanda D Gibson, PRACTICAL NURSE 19240 Gainsborough Rd, Detroit, MI 48223-1344 Ph: (313) 564-9996 | Ms Lawanda D Gibson, PRACTICAL NURSE 21415 Civic Center Dr Ste 302, Southfield, MI 48076-3954 Ph: (484) 202-7023 |
Kenisha Kalka, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 24320 Kinsel St, Southfield, MI 48033 Phone: 248-497-0509 | |
Crystal Young-rowe, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 19800 Saxton Ave, Southfield, MI 48075 Phone: 313-595-2948 | |
Miss Angela Selena Brantley, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 26705 W Carnegie Park Dr, Southfield, MI 48034 Phone: 313-648-2259 | |
Amicah Desiray Tolbert, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 17608 Gateway Cir, Southfield, MI 48075 Phone: 248-238-9195 | |
Jacqueline Venora Goodgame, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4000 Town Ctr, Southfield, MI 48075 Phone: 248-386-0300 | |
Ida Horn-larkins, L.P.N Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 21854 Colony Park Cir, Southfield, MI 48076 Phone: 313-719-8452 | |
Vena M Jenkins, PRACTICAL NURSE Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 21240 Van Buren St, #1, Southfield, MI 48033 Phone: 248-352-0201 |