Individual provider · Type 1 NPI

Alisa Joy Gordon, LPN

Licensed Practical Nurse · Highland Park, MI

NPI number 1386762185 Active

Practice location

13220 Woodward Ave
Highland Park, MI 48203-3610

Fax (313) 852-1631

Mailing address

8907 Rutland St
Detroit, MI 48228-2072

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703056485 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1386762185

Alisa Joy Gordon, LPN's National Provider Identifier is 1386762185, issued on Mar 27, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Highland Park, MI. The record was last updated on Jul 9, 2007.