Individual
LISA GORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8300 FLOYD CURL DR FL 3, SAN ANTONIO, TX 78229-3931
(210) 450-9050
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 450-9050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N3687
TX
207R00000X
Internal Medicine Physician
OS9820
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
20A14618
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
N3687
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341962402
—
TX
01
—
341962403
CSHCN
TX
Enumeration date
05/23/2007
Last updated
03/17/2018
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