IndividualActive
Laurie Tibbs, PA
NPI 1669556130 · Physician Assistant · Fort Myers, FL
Provider details
- NPI number
- 1669556130
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 085001124 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9131 College Pointe Ct
Fort Myers, FL 33919-3245
Phone: (239) 343-9100
Fax: (239) 343-9108
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2147
Fort Myers, FL 33902-2147
Additional practice locations (1)
- 800 North LoganSuite 105Danville, IL 61832Phone: (217) 431-6330Fax: (217) 366-6106
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2021-03-31
- Certified
- 2021-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.