Individual
DR. LISA KOHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 W STEWART DR, SJH-DEPT. OF PATHOLOGY, ORANGE, CA 92868-3849
(714) 771-8176
Mailing address
5856 CORPORATE AVE, SUITE 200, CYPRESS, CA 90630-4754
(714) 229-7619
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G70187
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G701870
—
CA
01
—
G70187
LICENSE
CA
Enumeration date
08/05/2006
Last updated
10/10/2007
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