ALISA GORDON, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1386762185
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 4703056485 (MI) |
Frequently Asked Questions
NPI 1386762185 is the National Provider Identifier for ALISA GORDON, LPN, a Licensed Practical Nurse provider located in Highland Park, MI. This NPI was enumerated on March 27, 2007.
ALISA GORDON, LPN practices at 13220 WOODWARD AVE, Highland Park, MI 48203.
Quick Facts
- NPI
- 1386762185
- Type
- Individual
- Enumerated
- Mar 27, 2007
- Last Updated
- Jul 9, 2007
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