Go, Lisa J.
Go, Lisa J. is an individual health care provider with primary practice located at 6704 Springwood Ct , Temple TX 76502-8767. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Go, Lisa J. can be contacted via phone (254) 939-3202.Contact Information
Primary practice address
6704 Springwood Ct
Temple TX 76502-8767
Phone: (254) 939-3202
Fax: (254) 939-3216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K2908 | Texas |
Profile Details
| NPI number | 1184683492 |
|---|---|
| LBN Legal business name | Go, Lisa J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jun 17th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184683492 | NPPES |
| Texas | Other | 87198N | BLUE SHIELD |
| Texas | Other | 110211239 | BLUE SHIELD |
| Texas | Other | 1053746-01 | BLUE SHIELD |
| Texas | MEDICAID | 1053746-02 | BLUE SHIELD |
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