person
Lisa Denise Mullally, DO
Family Medicine Physician in Crown Point, Indiana
NPI 1861462012

Lisa Denise Mullally is a Family Medicine Physician based in Crown Point, IN. Lisa Denise Mullally practices in Crown Point, IN and has the professional credentials of DO. The NPI Number for Lisa Denise Mullally is 1861462012 and holds a License No. 02003098 (Indiana).

The current practice location address for Lisa Denise Mullally is 11275 Delaware Pkwy, Crown Point, IN and can be reached out via phone at 219-779-8735 and via fax at 877-715-2312. You can also correspond with Lisa Denise Mullally through the mailing address at PO BOX 108, CROWN POINT, IN - 46308-0108 (mailing address contact number: 219-779-8735).

Location: 11275 Delaware Pkwy, Crown Point, IN, 46308-0108
person
Provider Profile Details
NPI Number
1861462012
Provider Name
Lisa Denise Mullally
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
11275 Delaware Pkwy, Crown Point, IN, 46308-0108
Phone Number
219-779-8735
Fax Number
877-715-2312
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200833870 05 IN
000000721919 01 IN ANTHEM TRADITIONAL
institution
Provider Business Practice Location Address Details
Address
11275 Delaware Pkwy
City
State
Zip
46307-7812
Phone Number
219-779-8735
Fax Number
877-715-2312
person
Provider Business Mailing Address Details
Address
Po Box 108
City
State
Zip
46308-0108
Phone Number
219-779-8735
Fax Number
877-715-2312
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
02003098 (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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