Individual
LILLIAN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
14444 COURSEY BLVD, BATON ROUGE, LA 70817-1319
(225) 753-1499
Mailing address
3005 AUBIN LN, BATON ROUGE, LA 70816-2108
(504) 722-6694
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020639
LA
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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