Gorden, Lemuel Durrell
Gorden, Lemuel Durrell is an individual health care provider with primary practice located at 225B Winton M Blount Loop , Montgomery AL 36117-3507. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gorden, Lemuel Durrell can be contacted via phone (334) 263-6228.Contact Information
Primary practice address
225B Winton M Blount Loop
Montgomery AL 36117-3507
Phone: (334) 263-6228
Fax: (334) 265-9136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 22077 | Alabama |
Profile Details
| NPI number | 1285630905 |
|---|---|
| LBN Legal business name | Gorden, Lemuel Durrell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Mar 14th, 2024 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285630905 | NPPES |
| Georgia | Other | P00159247 | RAILROAD |
| Georgia | MEDICAID | 009958605 | RAILROAD |
| Georgia | Other | G54042 | RAILROAD |
| Georgia | Other | 051521812 | RAILROAD |
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