LISA D LEMLEY GIBSON

FERNANDINA BEACH, FL
NPI1548338353
Former NameLISA D LEMLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9113789)
Additional Taxonomies363A00000X Physician Assistant
(Licence: KY  PA1116)
363A00000X Physician Assistant
(Licence: OH  50.002146RX)
Enumeration Date2006-12-01
Last Update Date2021-04-22
Business Address
LISA D LEMLEY GIBSON PA
1699 S 14TH ST STE 16
FERNANDINA BEACH, FL 32034-1965
Phone number: 904-223-3321
Mailing Address
LISA D LEMLEY GIBSON PA
10475 CENTURION PKWY N STE 201
JACKSONVILLE, FL 32256-5004
Phone number: 904-223-3321