Provider Demographics
NPI:1184090011
Name:ALLEN, LISA MARIA (LPN, RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:MARIA
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LPN, RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4850 TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-9608
Mailing Address - Country:US
Mailing Address - Phone:513-309-2972
Mailing Address - Fax:
Practice Address - Street 1:4850 TRENTON RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-9608
Practice Address - Country:US
Practice Address - Phone:513-309-2972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-14
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.414084163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health