Provider Demographics
NPI:1225344146
Name:MCALLISTER, LISA HARP (OD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:HARP
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:2596 REYNOLDA RD STE A
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-4651
Mailing Address - Country:US
Mailing Address - Phone:336-777-1722
Mailing Address - Fax:336-725-6954
Practice Address - Street 1:2596 REYNOLDA RD STE A
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-4651
Practice Address - Country:US
Practice Address - Phone:336-777-1722
Practice Address - Fax:336-725-6954
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2415152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist