Lisa Jane Gordon in Columbia - Chiropractor
Lisa Jane Gordon - NPI 1063504041
Lisa Jane Gordon is a Chiropractor in Columbia, Maryland. Lisa Jane Gordon practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Lisa Jane Gordon is 1063504041. The last update date is 2016-03-02.
Lisa Jane Gordon's current location address is 5053 Durham Rd W, Columbia, Maryland. You can contact this provider via phone number 4107335231. The mailing address for Lisa Jane Gordon is 5053 Durham Rd W, Columbia, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Jane Gordon |
|---|---|
| Address | 5053 Durham Rd W, Columbia, Maryland |
| Phone Number | 4107335231 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1063504041 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2016-03-02 |
Provider Mailing Address Detail
| Address | 5053 Durham Rd W |
|---|---|
| City | Columbia |
| State | Maryland (MD) |
| Post Code | 210441449 |
| Phone Number | 4107335231 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1372 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the unique identifier code issued to Lisa Jane Gordon by the Centers for Medicare & Medicaid Services?
The Lisa Jane Gordon has been assigned the NPI (National Provider Identifier) 1063504041. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lisa Jane Gordon?
The Lisa Jane Gordon is physically situated at 5053 Durham Rd W, in the city of Columbia, state of MD, with the postal code 210441449.
What is Lisa Jane Gordon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa Jane Gordon is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Lisa Jane Gordon receive its 1063504041 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Jane Gordon was assigned its 1063504041 by the Centers for Medicare & Medicaid Services on 2006-09-28.
As of what date was the information pertaining to Lisa Jane Gordon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lisa Jane Gordon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-03-02.