LISA GORDON

DETROIT, MI
NPI1437969466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI  4704351548)
Enumeration Date2025-01-11
Last Update Date2025-03-11
Business Address
LISA GORDON
3646 MOUNT ELLIOTT ST
DETROIT, MI 48207-2311
Phone number: 313-626-2400
Mailing Address
LISA GORDON
15212 SALEM CT
REDFORD, MI 48239-3441
Phone number: 248-325-7435