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Individual

MRS. LORIE GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
13900 NW 72ND ST, KANSAS CITY, MO 64152-1109
(816) 695-6022
Mailing address
13900 NW 72ND ST, KANSAS CITY, MO 64152-1109
(816) 695-6022

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F1016677
KS

Other

Enumeration date
01/03/2017
Last updated
01/03/2017
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