# LISA GORN, D.O., P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** BodyLogicMD of Austin
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487988424
- **Authorized official:** LISA GORN D.O. (PRESIDENT)
- **Authorized official phone:** (512) 571-2223

## Contact information

- **Practice address:** 3701 EXECUTIVE CENTER DRIVE, SUITE 211, AUSTIN, TX 78731
- **Practice address phone:** (877) 278-3690
- **Practice address fax:** (512) 494-5300
- **Mailing address:** 3701 EXECUTIVE CENTER DRIVE, SUITE 211, AUSTIN, TX 78731
- **Mailing address phone:** (877) 278-3690
- **Mailing address fax:** (512) 494-5300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | N3687 | TX | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | N3687 | TX | Yes |

## Other

- **Enumeration date:** 09/23/2009
- **Last updated:** 05/27/2014