Individual
LIV ELIZABETH GORLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10571 TELEGRAPH RD, SUITE 110, GLEN ALLEN, VA 23059-4652
(804) 266-9616
(804) 266-8908
Mailing address
10571 TELEGRAPH RD, SUITE 110, GLEN ALLEN, VA 23059-4652
(804) 266-9616
(804) 266-8908
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101237839
VA
208000000X
Pediatrics Physician
057838
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
561227823A
—
GA
05
—
561227823B
—
GA
Enumeration date
07/05/2006
Last updated
04/11/2024
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