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Individual
MS. LISA M ALLEN
Active
Individual
MS. LISA M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02006
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N9892
BCBS
TX
Enumeration date
08/21/2006
Last updated
05/26/2022
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