LISA GORN, D.O., P.A.
Osteopathic Medicine at Executive Center Dr, Austin, TX

License number
Texas N3687
Category
Medical Practice
Type
Specialist
License number
Texas N3687
Category
Osteopathic Medicine
Type
Endocrinology, Diabetes & Metabolism
Owner
Name: LISA GORN D.O.
Title: PRESIDENT
Phone: (512) 571-2223
Address
Address
3701 Executive Center Dr SUITE 211, Austin, TX 78731
National Provider ID: 1487988424
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LISA GORN, D.O., P.A. at bizstanding.com

LISA GORN, D.O., PA

Austin, TX  -  Dallas, TX

Industry:
Medical Doctor's Office
Doing business as:
Bodylogicmd of Dallas<br>Lisa Gorn, D.O., PA
Registration:
Aug 28, 2009
Addresses:
3701 Executive Ctr Dr STE 211, Austin, TX 78731 (Mailing)
3625 N Hall St, Dallas, TX 75219
State ID:
0801164301
Business type:
Professional Association
Member, Director, Officer:
Lisa Gorn (Member, Director, Officer)
TIN:
32040191838

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