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NPI Code Detail

MEDICARE: DR. LAWRENCE MCLEAN GIBBS M.D.

MEDICARE: DR. LAWRENCE MCLEAN GIBBS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianN9058TX
2207Q00000XFamily Medicine Physician2021023275MO

General Provider Information

NPI Number : 1326275660
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE MCLEAN GIBBS M.D.
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1010 W US HIGHWAY 24
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64050-2337
Country : US
Telephone Number : 816-608-3411
Fax Number : 165-240-1738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2009
Last Update Date : 02/16/2026

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