Lisa Leanne Allen, M.D. – Family Medicine Physician

Key facts

NPI: 1154586790
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 55644-020 (WI)
Practice address: 1808 Allouez Ave Ste C
Green Bay, WI 54311-6280
Phone: (920) 228-2274
NPI assigned: Jul 23, 2008
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Bellin Memorial Hospital Inc Cardiovascular Disease Physician · Oconto, WI · NPI 1699926964

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
55644-020	WI	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Bellin Memorial Hospital Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	N2910	TX
Family Medicine Physician	207Q00000X	55644-020	WI	Yes

Addresses

Primary practice location

1808 Allouez Ave Ste C
Green Bay, WI 54311-6280

Mailing address

1808 Allouez Ave Ste C
Green Bay, WI 54311-6280
Phone (920) 228-2274

Other providers in Green Bay, WI

All providers in Green Bay, WI · Family Medicine Physician in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.