Individual
GORDON A LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCS
Contact information
Practice address
451 ELMWOOD ST, SHREVEPORT, LA 71104-5009
(318) 219-7964
Mailing address
451 ELMWOOD ST, SHREVEPORT, LA 71104-5009
(318) 219-7964
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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