Gordon, Lisa

Gordon, Lisa is an individual health care provider with primary practice located at 1601 Greene St , Columbia SC 29208-4001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gordon, Lisa can be contacted via phone (803) 777-7412.

Contact Information

Primary practice address
1601 Greene St Columbia SC 29208-4001
Phone: (803) 777-7412
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18441 South Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1497187744
LBN Legal business name Gordon, Lisa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2013
Last updated Aug 12th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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