Laurence R Gordon in Weston - Internal Medicine
Laurence R Gordon - NPI 1942220900
Laurence R Gordon is a Internal Medicine in Weston, Wisconsin. Laurence R Gordon practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Laurence R Gordon is 1942220900. The last update date is 2019-11-26.
Laurence R Gordon's current location address is 4005 Community Center Dr, Weston, Wisconsin. You can contact this provider via phone number 7152415400. The mailing address for Laurence R Gordon is 4005 Community Center Dr, Weston, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurence R Gordon |
|---|---|
| Address | 4005 Community Center Dr, Weston, Wisconsin |
| Phone Number | 7152415400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1942220900 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2019-11-26 |
Provider Mailing Address Detail
| Address | 4005 Community Center Dr |
|---|---|
| City | Weston |
| State | Wisconsin (WI) |
| Post Code | 544764139 |
| Phone Number | 7152415400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 46088 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43512000 | WI | -- |
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What is the unique 10-digit identifier code assigned to Laurence R Gordon by the Centers for Medicare & Medicaid Services?
The Laurence R Gordon has been issued the NPI (National Provider Identifier) 1942220900 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Laurence R Gordon located?
The Laurence R Gordon is located at 4005 Community Center Dr, Weston, WI 544764139.
What is Laurence R Gordon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Laurence R Gordon is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942220900 to Laurence R Gordon?
The Laurence R Gordon received its 1942220900 assignment from the Centers for Medicare & Medicaid Services on 2006-07-20.
When was the Laurence R Gordon's information last updated?
The Laurence R Gordon's information was last updated on 2019-11-26.
NPI Number: 1982607784
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