# LISA GORN

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

## Provider details

- **NPI number:** 1609086164
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | N3687 | TX | — |
| 207R00000X | Internal Medicine Physician | OS9820 | FL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 20A14618 | CA | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | N3687 | TX | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 341962402 | — | TX |
| 01 | — | 341962403 | CSHCN | TX |