Lisa Devineni, CRNP
NPI #1003811175 in Johnstown, Pennsylvania
Provider Information
- NPI Number
- 1003811175
- Entity Type
- Individual
- Name
- Lisa Devineni, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- CRNP
- Enumeration Date
- Jun 16, 2005
- Last Updated
- Oct 17, 2014
Practice Location
- Address
- 315 LOCUST ST
- Address 2
- 2ND FLOOR
- City
- Johnstown
- State
- Pennsylvania
- ZIP Code
- 15901-1651
- Phone
- (814) 534-6750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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