Ms Lawanda D Gibson, PRACTICAL NURSE - Licensed Practical Nurse in Southfield, MI

Ms Lawanda D Gibson, PRACTICAL NURSE is a Licensed Practical Nurse based in Southfield, Michigan. Ms Lawanda D Gibson is licensed to practice in Michigan (license number 4703119637) and her current practice location is 21415 Civic Center Dr Ste 302, Southfield, Michigan. She can be reached at her office (for appointments etc.) via phone at (484) 202-7023.

NPI number for Ms Lawanda D Gibson is 1558990432 and her current mailing address is 19240 Gainsborough Rd, Detroit, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558990432.

Contact Information

Ms Lawanda D Gibson, PRACTICAL NURSE
21415 Civic Center Dr Ste 302,
Southfield, MI 48076-3954
(484) 202-7023
Not Available

Map and Direction




Provider's Profile

Full NameMs Lawanda D Gibson
GenderFemale
SpecialityLicensed Practical Nurse
Location21415 Civic Center Dr Ste 302, Southfield, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1558990432
  • Provider Enumeration Date: 04/03/2020
  • Last Update Date: 04/03/2020

Medical Identifiers

Medical identifiers for Ms Lawanda D Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558990432NPI-NPPES
G125488135293OtherMIMI STATE DRIVERS LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 166730 (Ohio)Secondary
164W00000XLicensed Practical Nurse 4703119637 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lawanda D Gibson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


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