Individual provider · Type 1 NPI

Lauren Martin Gibson, PA-C

Surgical Physician Assistant · Birmingham, AL

NPI number 1699017293 Active

Practice location

2700 10th Ave S Ste 200
Birmingham, AL 35205-1248

Call (205) 933-7838 Map

Fax (205) 876-8063

Mailing address

PO Box 370
Fortson, GA 31808-0370

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X890 (AL)
Surgical Physician Assistant Primary 363AS0400XPA.890 (AL)

Surgical Physician Assistant: Definition to come...

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About NPI 1699017293

Lauren Martin Gibson, PA-C's National Provider Identifier is 1699017293, issued on Mar 21, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Birmingham, AL. The record was last updated on Apr 11, 2023.