NPI

Stacey Lucia Gibson

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
MD
Type
Individual
Enumeration date
2014-05-27
Last updated
2018-03-17

Specialties

Licenses

License ME
MD21840

Location

Practice location
234 State St
City
Brewer ME
Postal code
04412-1519
Phone
(207) 989-0550

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

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Nearby

Other NPIs in Brewer, ME. 453 records in the public file.

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