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1861478984
LISA A GORDON
WORCESTER, MA
NPI
1861478984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MA 160026)
Enumeration Date
2005-12-20
Last Update Date
2014-01-31
Business Address
-- LISA A GORDON MD
108 BELMONT ST
WORCESTER, MA 01605-4902
Phone number: 508-334-1443
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Mailing Address
-- LISA A GORDON MD
PO BOX 415348
BOSTON, MA 02241-5348
Phone number: 800-225-8885
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