Individual
DR. LISA R ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA09146600
NJ
208600000X
Surgery Physician
MD434543
PA
208600000X
Surgery Physician
MT185965
PA
208600000X
Surgery Physician
N8880
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281530001 (MDACC)
—
TX
01
—
8CW159
BCBS (MDACC)
TX
01
—
P01037364
RR MEDICARE (MDACC)
TX
Enumeration date
06/23/2008
Last updated
07/17/2024
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