MEDICARE: DR. LISA MARIE ALLEN D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	5101009894	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639203102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA MARIE ALLEN D.O.

Provider Business Mailing Address
First Line	:	3257 DAVISON RD STE 102
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-2581
Country	:	US
Telephone Number	:	810-245-8620
Fax Number	:	820-245-8623

Provider Business Practice Location Address
First Line	:	3257 DAVISON RD STE 102
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-2581
Country	:	US
Telephone Number	:	810-245-8620
Fax Number	:	810-245-8623

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	11/28/2022

Similar Medicare Providers

1093712457 — DR. DARLENE FRANCES DALY DO
Practice Location Address:

3257 DAVISON RD STE 203
LAPEER, MI
48446-2581

Practice Phone: 810-969-4434
Practice Fax: 810-969-4438

1720196967 — DARLENE F DALY DO PC
Practice Location Address:

3257 DAVISON RD STE 203
LAPEER, MI
48446-2581

Practice Phone: 810-969-4434
Practice Fax: 810-969-4438

1316054810 — RESIDENTIAL HOME HEALTH AND HOSPICE, INC.
Practice Location Address:

1681 WOODBRIDGE PARK AVE.
LAPEER, MI
48446-4422

Practice Phone: 810-245-3300
Practice Fax: 810-245-3665

1811464787 — AMY VERHOEVEN MS, LLPC
Practice Location Address:

624 W NEPESSING ST
LAPEER, MI
48446-2090

Practice Phone: 989-672-6160
Practice Fax:

1124980875 — WENDY BUIKE
Practice Location Address:

101 DEVONSHIRE DR
LAPEER, MI
48446-2855

Practice Phone: 810-356-9238
Practice Fax:

1073541280 — DR. ALLAN KEITH THORBURN MD
Practice Location Address:

1570 SUNCREST DR
LAPEER, MI
48446-1154

Practice Phone: 810-667-0500
Practice Fax: 810-664-8728

Directions to “ DR. LISA MARIE ALLEN D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.