Individual
LAUREN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5666
Mailing address
3247 GEYER AVE, SAINT LOUIS, MO 63104-1520
(314) 258-4318
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2003017774
MO
Other
Enumeration date
04/23/2009
Last updated
11/03/2020
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