# DR. LORI GORE-GREEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578658654
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 5101012247 | MI | — |
| 207V00000X | Obstetrics & Gynecology Physician | K7545 | TX | Yes |
| 207VG0400X | Gynecology Physician | 3325 | OK | — |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 12/03/2024
