Individual
LISA MARIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 FRONT ST STE 280, CONSHOHOCKEN, PA 19428-2891
(215) 860-0100
Mailing address
366 TWINING FORD RD, RICHBORO, PA 18954-1849
(610) 955-9397
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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