Individual
ELIZABETH ANN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
11700 W 2ND PL, SUITE 435, LAKEWOOD, CO 80228-1704
(720) 321-8410
(720) 321-8411
Mailing address
11700 W 2ND PL, SUITE 435, LAKEWOOD, CO 80228-1704
(720) 321-8410
(720) 321-8411
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
147.0011451
IL
231H00000X
Audiologist
Primary
AUD.0000727
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320523735001
—
IL
05
—
79251056
—
CO
Enumeration date
04/12/2013
Last updated
11/17/2016
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