Individual
ALLEN LIFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 CAPRI ISLES BLVD, SUITE 7D, VENICE, FL 34292-5350
(941) 485-2220
(941) 485-2150
Mailing address
200 CAPRI ISLES BLVD, SUITE 7D, VENICE, FL 34292-5350
(941) 485-2220
(941) 485-2150
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0073305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41439
BLUE SHIELD
FL
Enumeration date
09/15/2006
Last updated
03/10/2017
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