Individual
LAKESHA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
5200 WILLSON RD STE 150-5030, EDINA, MN 55424-1332
(763) 200-1124
Mailing address
5200 WILLSON RD STE 150-5030, EDINA, MN 55424-1332
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
J3Y9Y3S6
MN
374J00000X
Doula
—
—
Other
Enumeration date
10/26/2022
Last updated
04/25/2024
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