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Lanette Gordon
NPI 1598281065 · on the registry since 2017
Practice
- Address
- 544 S Main St # B
Fort Bragg, CA 95437 - Phone
- (707) 961-0308
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 171M00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-08-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California