Individual
LISA GORSUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13620 REESE BLVD E, STE 100, HUNTERSVILLE, NC 28078-6417
(704) 801-7330
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9600300
NC
Other
Enumeration date
12/30/2005
Last updated
01/05/2022
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