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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA DENISE MULLALLY, D.O.

Active

LISA DENISE MULLALLY, D.O. is a Family Medicine healthcare provider located in CROWN POINT, Indiana. NPI 1861462012 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CROWN POINT, IN

Registration Details

NPI Number
1861462012
Provider Type
Individual
Gender
Female
NPI Issued
Jan 23, 2006 (20.543504115926 yrs)
Last Updated
Mar 25, 2019
License
02003098 (IN)

Practice Information

Address
11275 DELAWARE PKWY
CROWN POINT, IN, 463077812
Browse IN providers · Browse ZIP 46307
Phone
2197798735
Fax
8777152312
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in CROWN POINT, IN

Name Credential NPI
DR. DAWN L HACKER DO 1477556892
GEORGE BABCHUK MD 1811991615
DR. JAMES SIMANTIRAKIS DO 1114923927
MARK R MCMURTREY MD 1467459750
BRETT A BRECHNER DO 1629079108
BRENT A JACOBUS D.O. 1902807589
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.