Lucas Ray Gordon
NPI #1235858465 in West Branch, Michigan
Provider Information
- NPI Number
- 1235858465
- Entity Type
- Individual
- Name
- Lucas Ray Gordon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Aug 23, 2022
- Last Updated
- Aug 23, 2022
Practice Location
- Address
- 511 GRIFFIN RD
- City
- West Branch
- State
- Michigan
- ZIP Code
- 48661-9251
- Phone
- (989) 345-5540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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