Individual
MS. LEAH MICHELLE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3026 LEEWARD WAY, LITTLE CANADA, MN 55109
(651) 208-3051
Mailing address
3026 LEEWARD WAY, LITTLE CANADA, MN 55109-1066
(651) 208-3051
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 172117-1
MN
Other
Enumeration date
12/02/2010
Last updated
11/03/2014
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