Gordon, Lonna

Gordon, Lonna is an individual health care provider with primary practice located at 13535 Nemours Pkwy , Orlando FL 32827. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Gordon, Lonna can be contacted via phone (407) 567-4000.

Contact Information

Primary practice address
13535 Nemours Pkwy Orlando FL 32827
Phone: (407) 567-4000
Fax: (407) 567-5924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME135539 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C1-0013322 Delaware
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME135539 Florida

Profile Details

NPI number 1235368945
LBN Legal business name Gordon, Lonna
Credentials M.D., PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2009
Last updated Dec 31st, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235368945 NPPES
Florida MEDICAID 024920900

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