Organization
LORI GORE-GREEN, D.O., PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI GORE-GREEN D.O. (PHYICAN)
(940) 387-3744
Entity
Organization
Contact information
Practice address
209 N BONNIE BRAE ST STE 204, DENTON, TX 76201-3748
(940) 387-3744
Mailing address
209 N BONNIE BRAE ST STE 204, DENTON, TX 76201-3748
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K7545
TX
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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