| Doctor Name: | DR. LESLENE GORDON |
| NPI Number: | 1124259684 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD,PHD |
| License Number: | ND1293 |
| Business Practice Address: | 24754 State Road 54 Unit 102 Lutz, FL - 335596200 |
| Business Phone Number: | 8135046581 |
| Business Fax Number: | |
| Mailing Address: | 1825 Candlestick Ct, LUTZ |
| State: | FL |
| Postal Code: | 335593352 |
| Phone Number: | 8139493368 |
| Fax Number: | |
| NPI Enumeration Date: | 08/01/2009 |
| NPI Last Update Date: | 08/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | ND1293 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |