Most Relevant Information
Provider Data
| NPI Number: | 1003272881 |
| Provider Name: | LISA GORDON MS |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | TSLP9454 |
Most Important Dates
| Enumeration Date: | 01/08/2016 |
| Last Updated: | 01/08/2016 |
Provider Practice Location
1010 E 10TH ST
TUCSON
AZ
857195813
Practice Location Phone/Fax
| Phone: | 2536828185 |
| Fax: |
Provider Mailing Location
1010 E 10TH ST
TUCSON
AZ
857195813
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |