Provider Demographics
NPI:1295998417
Name:MCALLISTER, LISA (DO)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:253 BRIDGTON RD
Mailing Address - Street 2:
Mailing Address - City:FRYEBURG
Mailing Address - State:ME
Mailing Address - Zip Code:04037-1438
Mailing Address - Country:US
Mailing Address - Phone:207-935-3383
Mailing Address - Fax:207-935-3632
Practice Address - Street 1:253 BRIDGTON RD
Practice Address - Street 2:
Practice Address - City:FRYEBURG
Practice Address - State:ME
Practice Address - Zip Code:04037-1438
Practice Address - Country:US
Practice Address - Phone:207-935-3383
Practice Address - Fax:207-935-3632
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME2236207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME002326201Medicare PIN