Allen, Lisa R

Allen, Lisa R is an individual health care provider with primary practice located at 633 3Rd Ave Fl 4 , New York NY 10017-6943. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Allen, Lisa R can be contacted via phone (646) 227-3764.

Contact Information

Primary practice address
633 3Rd Ave Fl 4 New York NY 10017-6943
Phone: (646) 227-3764
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA09146600 New Jersey
Allopathic & Osteopathic Physicians / Surgery 208600000X MT185965 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X N8880 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X MD434543 Pennsylvania

Profile Details

NPI number 1932360823
LBN Legal business name Allen, Lisa R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2008
Last updated Jul 17th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932360823 NPPES
Texas MEDICAID 281530001 (MDACC)
Texas Other P01037364
Texas Other 8CW159

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