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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