# LORI GORE-GREEN, D.O., PA.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235218348
- **Authorized official:** LORI GORE-GREEN D.O. (PHYICAN)
- **Authorized official phone:** (940) 387-3744

## Contact information

- **Practice address:** 209 N BONNIE BRAE ST STE 204, DENTON, TX 76201-3748
- **Practice address phone:** (940) 387-3744
- **Mailing address:** 209 N BONNIE BRAE ST STE 204, DENTON, TX 76201-3748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | K7545 | TX | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 08/22/2020