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1922238393 NPI number — LACY LYNN GILBERT D.M.D.

NPI Number: 1922238393
Health Care Provider/Practitioner: LACY LYNN GILBERT D.M.D.

Information about “1922238393” NPI (LACY LYNN GILBERT D.M.D.) exists in 1922238393 in HTML format HTML  |  1922238393 in plain Text format TXT  |  1922238393 in PDF (Portable Document Format) PDF  |  1922238393 in an XML format XML  formats.

NPI Number : 1922238393 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922238393",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GILBERT",
    "FirstName": "LACY",
    "MiddleName": "LYNN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HOLZINGER",
    "OtherFirstName": "LACY",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "27695 BAY POINT LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BONITA SPRINGS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34134-3917",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "239-218-6071",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "23451 WALDEN CENTER DR",
    "SecondLinePracticeLocationAddress": "SUITE 100",
    "PracticeLocationAddressCityName": "BONITA SPRINGS",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34134-4919",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "239-948-2111",
    "PracticeLocationAddressFaxNumber": "239-948-2155",
    "EnumerationDate": "07/20/2009",
    "LastUpdateDate": "12/06/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "DN18274",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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