Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Denise Mullally, DO

Individual provider Family Medicine Physician · NPI 1861462012

Lisa Denise Mullally, DO is a Family Practice in Crown Point, Indiana. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2002, 24 years ago. Practices with Indiana Sports and Medical Science Institute, PC, a 7-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
24
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IN
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11275 Delaware Pkwy
Crown Point, IN 46307-7812
Phone: (219) 779-8735
Fax: (877) 715-2312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02003098 (IN)

Record details

NPI number1861462012
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESMarch 25, 2019
Mailing addressPo Box 108, Crown Point, IN 46308-0108

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2002 (24 years in practice)
Group practice Indiana Sports And Medical Science Institute, Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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