NPI 1063504041

Lisa Jane Gordon, DC

Practitioner Chiropractor Columbia, MD

Practice location

Address: 5053 Durham Rd W, Columbia, MD 21044-1449
Phone: (410) 733-5231

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 01372 (MD)

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Registry record

NPI: 1063504041
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2006
Record last updated: 2 Mar 2016

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.