| Lisa Allen-khalil Md Pa | |
|
11373 Cortez Blvd Ste 102 Brooksville FL 34613-5414 | |
| (352) 592-5000 | |
| (352) 592-5001 |
| Full Name | Lisa Allen-khalil Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 11373 Cortez Blvd Ste 102, Brooksville, Florida |
| Authorized Official Name and Position | Lisa A Allen-khalil (OWNER/MEDICAL DOCTOR) |
| Authorized Official Contact | 3525925000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Allen-khalil Md Pa 11373 Cortez Blvd Ste 102 Brooksville FL 34613-5411 Ph: (352) 592-5000 | Lisa Allen-khalil Md Pa 11373 Cortez Blvd Ste 102 Brooksville FL 34613-5414 Ph: (352) 592-5000 |
| NPI Number | 1780641894 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 12/21/2021 |
| Medicare PECOS PAC ID | 7315073145 |
|---|---|
| Medicare Enrollment ID | O20100331000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780641894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lisa Allen-khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669439741 PECOS PAC ID: 1052447885 Enrollment ID: I20100331000105 |
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