Provider Demographics
NPI:1063685873
Name:BARRETT, ALLISON MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:MARIE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 NOLL DR STE D
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-7602
Mailing Address - Country:US
Mailing Address - Phone:223-202-7001
Mailing Address - Fax:717-312-3138
Practice Address - Street 1:2135 NOLL DR STE D
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-7602
Practice Address - Country:US
Practice Address - Phone:223-202-7001
Practice Address - Fax:717-312-3138
Is Sole Proprietor?:No
Enumeration Date:2008-04-12
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY259482208600000X
PAMD465183208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD465183OtherPA MEDICAL LICENSE
CAC55893OtherLICENSE
NY259482OtherNY MEDICAL LICENSE