Lisa Marie Allen, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

5101009894 Issued in MI

Practice address

3257 Davison Rd Ste 102
Lapeer, MI 48446-2581

Phone

(810) 245-8620

Fax

(810) 245-8623

NPI assigned

Mar 15, 2007

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lisa.allen.1@30725.direct.athenahealth.com

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

• McLaren Lapeer Region

  dba McLaren HealthCare Corporation

  • General Acute Care Hospital
  • Lapeer, MI
  • NPI 1205824737
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1639203102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 DAVISON RD STE 102",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462581",
            "telephone_number": "810-245-8620",
            "fax_number": "820-245-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 DAVISON RD STE 102",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462581",
            "telephone_number": "810-245-8620",
            "fax_number": "810-245-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101009894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4188264",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdul Kadar Alawwa, M.D.
• Carrie Nicole Aldrich, MS, LPC
• Laura Alegre, OTR
• Adam Alexander
• Belle Allen
• Tonya Faith Allendorfer
• Athear M. Alrawi, MD
• Jenny Amante
• Carolyn J Anderson, MA, LPC
• Andrew G. Aretakis, D.D.S,P.C.

• Obstetrics & Gynecology Physician in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.