NPI 1053386045

Lori Lynn Gordon, MD

Practitioner Colon & Rectal Surgery Physician Fort Worth, TX

Practice location

Address: 1420 8th Avenue, Suite 103, Fort Worth, TX 76104-4138
Phone: (817) 924-9002
Fax: (817) 924-9960
Mailing address: P. O. Box 961205, Fort Worth, TX 76161-1205

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence J6468 (TX)

Other Colon & Rectal Surgery providers in Texas →

Registry record

NPI: 1053386045
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2006
Record last updated: 30 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.