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

Lisa Marie Mullen, MD

Individual provider Family Medicine Physician · NPI 1629364377

Lisa Marie Mullen, MD is a Family Practice in Buffalo, Wyoming. Graduated from University of Washington School of Medicine in 2011, 15 years ago. Practices with Family Medical Center, a 22-clinician group and accepts Medicare assignment. Licensed in Idaho and Wyoming.

Years since qualifying
15
Trained at
University of Washington School of Medicine
Licensed in
ID, WY
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

497 W Lott St
Buffalo, WY 82834-1658
Phone: (307) 684-2228
Fax: (307) 684-2177
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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 9778A (WY)
Family Medicine Physician Taxonomy 207Q00000X · Licence MR-1172 (ID)

Record details

NPI number1629364377
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2011
Last updated in NPPESFebruary 16, 2015

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Family Medical Center — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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