Provider Demographics
NPI:1063613826
Name:MORRISON, ALLISON ELISE (MD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:ELISE
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1551 PROFESSIONAL LN
Mailing Address - Street 2:SUITE 135
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-6972
Mailing Address - Country:US
Mailing Address - Phone:303-532-2810
Mailing Address - Fax:303-532-2816
Practice Address - Street 1:1551 PROFESSIONAL LN
Practice Address - Street 2:SUITE 135
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-6972
Practice Address - Country:US
Practice Address - Phone:303-532-2810
Practice Address - Fax:303-532-2816
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC31168174400000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC7818Medicare PIN