Lisa Gorn, D.O., P.a.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

N3687 Issued in TX

Legal business name

LISA GORN, D.O., P.A.

Practice address

3701 Executive Center Drive
Suite 211
Austin, TX 78731

Phone

(877) 278-3690

Fax

(512) 494-5300

NPI assigned

Sep 23, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Gorn, D.O.

Title

President

Phone

(512) 571-2223

Specialties & licenses 2

Addresses

Other names 1

• BodyLogicMD of Austin Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1487988424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 EXECUTIVE CENTER DRIVE",
            "address_2": "SUITE 211",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "877-278-3690",
            "fax_number": "512-494-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 EXECUTIVE CENTER DRIVE",
            "address_2": "SUITE 211",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "877-278-3690",
            "fax_number": "512-494-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA GORN, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "GORN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-571-2223",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "N3687",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "N3687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Austin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roy Lirov, M.D.
• Lisa Battle Therapy PLLC
• Lisa Cashion, Psy.D., Psychologist, P.a.
• Lisa D. Jones, MD
• Lisa Damura Pmhnp PLLC
• Lisa Harris Otr, PC
• Lisa Harris, Otr, PC
• Lisa L. Savage, M.D., P.a.
• Lisa Ann Lisanti, M.S.
• Amanda Lisberger, BCBA

• Endocrinology, Diabetes & Metabolism Physician in Austin, TX
• Providers in Austin, TX by specialty
• Endocrinology, Diabetes & Metabolism Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.