Individual
LISA A GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
108 BELMONT ST, WORCESTER, MA 01605-4902
(508) 334-1443
(508) 334-1448
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
160026
MA
Other
Enumeration date
12/20/2005
Last updated
01/31/2014
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