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Individual

LINDSEY GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1548 14TH AVE SE, CEDAR RAPIDS, IA 52401-2575
(319) 241-4255
Mailing address
1548 14TH AVE SE, CEDAR RAPIDS, IA 52401-2575
(319) 241-4255

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
X000713700
IA
Enumeration date
03/11/2021
Last updated
03/11/2021
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