person
Lisa Gordon, FNP
Family Nurse Practitioner in Orangeburg, South Carolina
NPI 1497187744

Lisa Gordon is a Family Nurse Practitioner based in Orangeburg, SC and is specialized in Family. Lisa Gordon practices in Orangeburg, SC and has the professional credentials of FNP. The NPI Number for Lisa Gordon is 1497187744 and holds a License No. 18441 (South Carolina).

The current practice location address for Lisa Gordon is 1175 Cook Rd, Orangeburg, SC and can be reached out via phone at 803-395-3900 and via fax at 803-395-3920. You can also correspond with Lisa Gordon through the mailing address at PO BOX 1245, ORANGEBURG, SC - 29116-1245 (mailing address contact number: 803-395-4561).

Location: 1175 Cook Rd, Orangeburg, SC, 29116-1245
person
Provider Profile Details
NPI Number
1497187744
Provider Name
Lisa Gordon
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1175 Cook Rd, Orangeburg, SC, 29116-1245
Phone Number
803-395-3900
Fax Number
803-395-3920
Provider Enumeration Date
08/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1175 Cook Rd
City
State
Zip
29118-8201
Phone Number
803-395-3900
Fax Number
803-395-3920
person
Provider Business Mailing Address Details
Address
1175 Cook Rd
City
State
Zip
29118-8201
Phone Number
803-395-3900
Fax Number
803-395-3920
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
18441 (South Carolina)
Definition
Definition to come...
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