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Individual

DR. LISA LEANNE ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1808 ALLOUEZ AVE STE C, GREEN BAY, WI 54311-6280
(920) 228-2274
Mailing address
1808 ALLOUEZ AVE STE C, GREEN BAY, WI 54311-6280
(920) 228-2274

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55644-020
WI
207Q00000X
Family Medicine Physician
N2910
TX

Other

Enumeration date
07/23/2008
Last updated
07/21/2022
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