NPI 1336223833

Lisa Ann Wilson, MD

Practitioner Dermatology Physician Muncie, IN

Practice location

Address: 3500 W Purdue Ave, Muncie, IN 47304-6357
Phone: (765) 747-6090
Fax: (765) 747-5069

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 01044182 (IN)

Other Dermatology providers in Indiana →

Registry record

NPI: 1336223833
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Oct 2006
Record last updated: 19 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.