Lauraann Terry Gordon

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Ada, MI

NPI 1538082292 · NPPES record last updated Jul 31, 2026

Key facts

NPI
1538082292
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
7649 Candlewood Dr SE
Ada, MI 49301-9348
Phone
(616) 272-9150
NPI assigned
Jul 31, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program
Group: 193400000X SINGLE SPECIALTY GROUP
390200000X MI Yes

Addresses

Primary practice location

7649 Candlewood Dr SE
Ada, MI 49301-9348

Mailing address

7649 Candlewood Dr SE
Ada, MI 49301-9348

Other providers in Ada, MI

All providers in Ada, MI · Student in an Organized Health Care Education/Training Program in Michigan

Sources for this page

Verify at the official NPI Registry.