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Individual

LAKSHMI VADLAMUDI GORDON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2053 VALLEYGATE DR, STE. 201, FAYETTEVILLE, NC 28304-3688
(910) 484-9020
(910) 484-9012
Mailing address
PO BOX 87306, FAYETTEVILLE, NC 28304-7306
(910) 484-9020
(910) 484-9012

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89129MA
NC
Enumeration date
08/18/2005
Last updated
07/08/2007
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