Provider Demographics
NPI:1326275660
Name:GIBBS, LAWRENCE MCLEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:MCLEAN
Last Name:GIBBS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:600 NW MURRAY RD STE 210
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-1245
Mailing Address - Country:US
Mailing Address - Phone:816-524-2626
Mailing Address - Fax:816-524-0173
Practice Address - Street 1:600 NW MURRAY RD STE 210
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081-1245
Practice Address - Country:US
Practice Address - Phone:165-242-6268
Practice Address - Fax:165-240-1738
Is Sole Proprietor?:No
Enumeration Date:2009-06-13
Last Update Date:2022-02-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN9058207Q00000X
MO2021023275207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine