LISA DENISE MULLALLY

CROWN POINT, IN
NPI1861462012
Former NameLISA DENISE NOVAK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02003098)
Enumeration Date2006-01-23
Last Update Date2019-03-25
Business Address
LISA DENISE MULLALLY D.O.
11275 DELAWARE PKWY
CROWN POINT, IN 46307-7812
Phone number: 219-779-8735
Mailing Address
LISA DENISE MULLALLY D.O.
PO BOX 108
CROWN POINT, IN 46308-0108
Phone number: 219-779-8735
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