Individual
DR. LESLENE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,PHD
Contact information
Practice address
24754 STATE ROAD 54 UNIT 102, LUTZ, FL 33559-6200
(813) 504-6581
Mailing address
1825 CANDLESTICK CT, LUTZ, FL 33559-3352
(813) 949-3368
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND1293
FL
Other
Enumeration date
08/01/2009
Last updated
08/01/2009
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