Lisa Condon Gorab
Adolescent Medicine
1310 W Stewart Dr Suite 506
Orange
, California 92868-3854
Lisa Condon Gorab
Adolescent Medicine
1310 W Stewart Dr Suite 506
Orange
, California 92868-3854
(714) 639-2379
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Lisa Condon Gorab
- 1310 W Stewart Dr Suite 506
- Orange, CA
- Zip : 92868-3854
- Fax : (714) 639-2379
- Phone : (714) 633-4957
Second Address
- Lisa Condon Gorab
- 1310 W Stewart Dr Suite 506
- Orange, CA
- Zip : 92868-3854
- Fax : (714) 639-2379
- Phone : (714) 633-4957
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | G06708 | CA |
National Provider Identifier
| NPI | 1245366061 |
|---|---|
| Provider Name | Lisa Condon Gorab |
| First Address | Orange, CA 92868-3854 |
| Second Address | Orange, CA 92868-3854 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.