National Provider Identifier
Lisa Gordon, PA
Lisa Gordon, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Boston, MA and a listed phone number of (617) 636-5000.
Source: public NPPES record, last updated January 22, 2016. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1235382714
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- October 29, 2008
- Last Updated
- January 22, 2016
Practice Location
- 800 Washington St
- Boston, MA 02111-1552
Phone: (617) 636-5000
Specialties
- Surgical Physician Assistant (363AS0400X)
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Biography
Lisa Gordon, PA, is a Boston-based surgical physician assistant affiliated with Tufts Medical Center, where public Medicare sources list her with Pratt Orthopaedic Associates. She graduated from Hahnemann University College of Medicine in 2000 and has more than two decades of physician assistant experience.
Full Record
- NPI
- 1235382714
- Entity Type
- Individual
- Last Name
- Gordon
- First Name
- Lisa
- Credential
- PA
- Mailing Street Address
- 800 Washington St
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02111-1552
- Mailing Country
- US
- Mailing Phone
- (617) 636-5000
- Practice Street Address
- 800 Washington St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02111-1552
- Practice Country
- US
- Practice Phone
- (617) 636-5000
- Enumeration Date
- October 29, 2008
- Last Updated
- January 22, 2016
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Surgical Physician Assistant (363AS0400X)