Individual provider · Type 1 NPI

Lauren Gordon, CPNP

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1679717417 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104-1003

Mailing address

3247 Geyer Ave
St. Louis, MO 63104-1520

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X2003017774 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1679717417

Lauren Gordon, CPNP's National Provider Identifier is 1679717417, issued on Apr 23, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Nov 3, 2020.