Provider Demographics
NPI:1235202391
Name:LOUIE, ALLISON KRISTINE (PA)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:KRISTINE
Last Name:LOUIE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2546 N SKYTOP CT
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-6492
Mailing Address - Country:US
Mailing Address - Phone:516-410-3358
Mailing Address - Fax:
Practice Address - Street 1:2546 N SKYTOP CT
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-6492
Practice Address - Country:US
Practice Address - Phone:516-410-3358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA52781363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant