NPI 1588647523

Lisa M Malone, MD

Practitioner Obstetrics & Gynecology Physician Portage, IN

Practice location

Address: 6050 Sterling Creek Rd, Portage, IN 46368-7752
Phone: (219) 763-8112
Fax: (219) 764-5380
Mailing address: PO Box 1430, Portage, IN 46368-9230

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 036091949 (IL)

Other Obstetrics & Gynecology providers in Indiana →

Registry record

NPI: 1588647523
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Nov 2005
Record last updated: 13 Aug 2020

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.