National Provider Identifier
Lisa Ann Devereaux, LPN
Lisa Ann Devereaux, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Niagara Falls, NY and a listed phone number of (716) 278-8110.
Profile Overview
- NPI
- 1811040660
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 18, 2007
- Last Updated
- July 08, 2007
Practice Location
- 1001 Eleventh Street
- Room 172 Trott Access Center
- Niagara Falls, NY 14301
Phone: (716) 278-8110
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1811040660
- Entity Type
- Individual
- Last Name
- Devereaux
- First Name
- Lisa
- Middle Name
- Ann
- Name Prefix
- MS.
- Credential
- LPN
- Mailing Street Address
- 1001 Eleventh Street
- Mailing Address Line 2
- Room 172 Trott Access Center
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14301
- Mailing Country
- US
- Mailing Phone
- (716) 278-8110
- Mailing Fax
- (716) 278-8111
- Practice Street Address
- 1001 Eleventh Street
- Practice Address Line 2
- Room 172 Trott Access Center
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14301
- Practice Country
- US
- Practice Phone
- (716) 278-8110
- Practice Fax
- (716) 278-8111
- Enumeration Date
- January 18, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)