Lori Lynn Gordon in Fort Worth - Colon & Rectal Surgery
Lori Lynn Gordon - NPI 1053386045
Lori Lynn Gordon is a Colon & Rectal Surgery in Fort Worth, Texas. Lori Lynn Gordon practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Lori Lynn Gordon is 1053386045. The last update date is 2011-09-30.
Lori Lynn Gordon's current location address is 1420 8th Avenue, Suite 103, Fort Worth, Texas. You can contact this provider via phone number 8179249002 and fax number 8179249960. The mailing address for Lori Lynn Gordon is 1420 8th Avenue, Suite 103, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori Lynn Gordon |
|---|---|
| Address | 1420 8th Avenue, Suite 103, Fort Worth, Texas |
| Phone Number | 8179249002 |
| Fax Number | 8179249960 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1053386045 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2011-09-30 |
Provider Mailing Address Detail
| Address | 1420 8th Avenue, Suite 103 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761044138 |
| Phone Number | 8179249002 |
| Fax Number | 8179249960 |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | J6468 |
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Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 213903201 | TX | -- |
Post Comment/ Review Below
What is the Lori Lynn Gordon's 1053386045?
The Lori Lynn Gordon's NPI (National Provider Identifier) Number is 1053386045. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lori Lynn Gordon is physically located?
The Lori Lynn Gordon is situated at the following address: 1420 8Th Avenue, Suite 103, Fort Worth, TX 761044138.
What is the Lori Lynn Gordon's area of specialization and corresponding taxonomy classification?
The Lori Lynn Gordon's specialty field is Colon & Rectal Surgery, and it falls under the taxonomy code 208C00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1053386045 to Lori Lynn Gordon?
The Centers for Medicare & Medicaid Services assigned the 1053386045 to Lori Lynn Gordon on 2006-02-22.
When was the information pertaining to Lori Lynn Gordon most recently updated or revised?
The details related to Lori Lynn Gordon, including its address, specialty, and other relevant information, were last updated or revised on 2011-09-30.