Individual
MRS. LISA GREEN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 267-7771
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0053537
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211004100
—
MD
Enumeration date
07/26/2006
Last updated
11/06/2025
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