Devenport, Lisa B
Devenport, Lisa B is an sole proprietor health care provider with primary practice located at 180 W Esplanade Ave , Kenner LA 70065-2467. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Devenport, Lisa B can be contacted via phone (800) 893-9698.Contact Information
Primary practice address
180 W Esplanade Ave
Kenner LA 70065-2467
Phone: (800) 893-9698
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 023065 | Louisiana |
Profile Details
| NPI number | 1912944364 |
|---|---|
| LBN Legal business name | Devenport, Lisa B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Mar 26th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912944364 | NPPES |
| Louisiana | MEDICAID | 1490911 |
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