Gordon, Lucas Ray

Gordon, Lucas Ray is an individual health care provider with primary practice located at 511 Griffin Rd , West Branch MI 48661-9251. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Gordon, Lucas Ray can be contacted via phone (989) 345-5540.

Contact Information

Primary practice address
511 Griffin Rd West Branch MI 48661-9251
Phone: (989) 345-5540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1235858465
LBN Legal business name Gordon, Lucas Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2022
Last updated Aug 23rd, 2022 - about 4 years 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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