Dr. Lawrence W Gordon, M.D.
Ophthalmology in Memphis, TN. Individual provider (NPI-1).
NPI number1982609665
StatusActive
Last updated in NPPESApr 26, 2017
Details
- NPI
- 1982609665
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lawrence W Gordon
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2005
- Last updated
- Apr 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 19749 | TN | Yes |
| 207WX0107X | Ophthalmology, Retina Specialist | 19749 | TN |
Practice location
6005 Park AveSte 624b
Memphis, TN 38119-5221
Phone 901-682-1100 · Fax 901-682-6915
Mailing address
Po Box 1000 Dept 448Memphis, TN 38148-0448
Phone 901-682-1100 · Fax 901-682-6915
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