Davenport, Lisa Michele

Davenport, Lisa Michele is an sole proprietor health care provider with primary practice located at 1950 Aspen Ave , Lubbock TX 79404-1211. She recently has 4 registered licenses in different health care specialties including Hospitals / Psychiatric Hospital, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Davenport, Lisa Michele can be contacted via phone (806) 740-1421.

Contact Information

Primary practice address
1950 Aspen Ave Lubbock TX 79404-1211
Phone: (806) 740-1421
Fax: (806) 747-5491
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP134875 Texas
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP134875 Texas

Profile Details

NPI number 1861918344
LBN Legal business name Davenport, Lisa Michele
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2017
Last updated Mar 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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