Individual
DR. LAWRENCE PAUL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 IRVING AVE, 9TH FL, SYRACUSE, NY 13210-1687
(315) 470-7396
(315) 470-2806
Mailing address
4567 CROSSROADS PARK DR, 2ND FL, LIVERPOOL, NY 13088-3589
(315) 434-9309
(315) 454-0136
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
114226
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
114226
NY
207ZP0213X
Pediatric Pathology Physician
114226
NY
Other
Enumeration date
08/24/2005
Last updated
09/12/2007
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