Individual
DR. LAWRENCE W GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6005 PARK AVE, STE 624B, MEMPHIS, TN 38119-5221
(901) 682-1100
(901) 682-6915
Mailing address
PO BOX 1000 DEPT 448, MEMPHIS, TN 38148-0448
(901) 682-1100
(901) 682-6915
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
19749
TN
207WX0107X
Retina Specialist (Ophthalmology) Physician
19749
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119321
—
MS
05
—
146871001
—
AR
01
—
180031674
RAILROAD MEDICARE
TN
05
—
3050718
—
TN
01
—
3066300
BLUE CROSS OF TENNESSEE
TN
01
—
5L961
ARKANSAS MEDICARE
AR
01
—
P00777025
RAILROAD MEDICARE
AR
Enumeration date
06/17/2005
Last updated
04/26/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us