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:
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Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
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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