Individual
LASHAWN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11200 W LINCOLN HWY, MOKENA, IL 60448-8208
(815) 464-2170
Mailing address
11200 W LINCOLN HWY, MOKENA, IL 60448-8208
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209008800
IL
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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