Individual
DR. LISA JANE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5053 DURHAM RD W, COLUMBIA, MD 21044-1449
(410) 733-5231
Mailing address
5053 DURHAM RD W, COLUMBIA, MD 21044-1449
(410) 733-5231
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01372
MD
Other
Enumeration date
09/28/2006
Last updated
03/02/2016
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