Lori Lynn Gordon MD

NPI 1053386045 - Colon & Rectal Surgery - 208C00000X

NPI Details
NPI 1053386045
Gender Female
Enumeration Date 02/22/2006
Last Updated 09/30/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1420 8TH AVENUE, SUITE 103
FORT WORTH TX, 76104-4138, US
Phone (817) 924-9002
Fax (817) 924-9960
Business Location
P. O. BOX 961205
FORT WORTH TX, 76161-1205, US
Phone (817) 740-8400
Fax (817) 924-9960
Taxonomy Code 208C00000X
License State Texas
License Number J6468
Remove 1053386045 NPI Number

According to our database, Lori Lynn Gordon MD NPI is 1053386045, taxonomy code is 208C00000X and license number is J6468, license state is located at Texas. Lori Lynn Gordon MD physically located at 1420 8th Avenue, Suite 103, Fort Worth TX, 76104-4138. NPI Number Lori Lynn Gordon MD has the Individual type.

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1053386045 NPI number is provided on an as is basis without warranty of any kind. 1053386045 is maintained by the National Plan & Provider Enumeration System. The contents of Lori Lynn Gordon MD are for informational purposes only.