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Contact Information

LAUREN E GIBBONS, MS, PA-C
15650 CEDAR AVE
APPLE VALLEY, MN55124
 Phone: 952-997-4100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LAUREN E GIBBONS · (Female)

NPI Number 1760884928
Status Active
Credentials MS, PA-C
Entity Individual
Enumeration date 09/19/2014
Last updated 07/19/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085005195
  • MN License # 11685
Hospital affiliation(s)
  • FAIRVIEW RIDGES HOSPITAL - (Acute Care)
    201 EAST NICOLLET BOULEVARD
    BURNSVILLE, MN 55337
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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