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Organization
LISA GORN, D.O., P.A.
Active
Organization
LISA GORN, D.O., P.A.
Active
Other names
BodyLogicMD of Austin
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GORN D.O. (PRESIDENT)
(512) 571-2223
Entity
Organization
Contact information
Practice address
3701 EXECUTIVE CENTER DRIVE, SUITE 211, AUSTIN, TX 78731
(877) 278-3690
(512) 494-5300
Mailing address
3701 EXECUTIVE CENTER DRIVE, SUITE 211, AUSTIN, TX 78731
(877) 278-3690
(512) 494-5300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
N3687
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
N3687
TX
Other
Enumeration date
09/23/2009
Last updated
05/27/2014
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