Individual
LAURA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
6900 GEORGIA AVE NW, WALTER REED ARMY MEDICAL CENTER, NCD, WASHINGTON, DC 20307-0003
(202) 782-6207
Mailing address
6900 GEORGIA AVE NW, WALTER REED ARMY MEDICAL CENTER, NCD, WASHINGTON, DC 20307-0003
(202) 782-6207
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07483
TX
Other
Enumeration date
12/05/2006
Last updated
03/04/2009
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