Provider Demographics
NPI:1144340704
Name:ALLEN, LISA ANN (ARNP)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:ANN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Mailing Address - Street 1:10180 NW 43RD ST
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-2361
Mailing Address - Country:US
Mailing Address - Phone:954-962-2009
Mailing Address - Fax:954-986-0243
Practice Address - Street 1:6152 VERDE TRL N
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-2430
Practice Address - Country:US
Practice Address - Phone:561-487-6200
Practice Address - Fax:561-487-1342
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2018-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL2544502363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily