NPI 1235797051

Latasha Paulette Gibbs

Practitioner Prosthetist Lawrenceville, GA

Practice location

Address: 4955 Sugarloaf Pkwy STE F, Lawrenceville, GA 30044-6997
Phone: (800) 324-2688
Mailing address: 1530 Misty Valley Dr, Lawrenceville, GA 30045-7033

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1235797051
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2019
Record last updated: 5 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.