Most Relevant Information
Provider Data
| NPI Number: | 1003811175 |
| Provider Name: | LISA DEVINENI CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | VP004823B |
Most Important Dates
| Enumeration Date: | 06/16/2005 |
| Last Updated: | 10/17/2014 |
Provider Practice Location
315 LOCUST ST
2ND FLOOR
JOHNSTOWN
PA
159011651
Practice Location Phone/Fax
| Phone: | 8145346750 |
| Fax: | 8145346760 |
Provider Mailing Location
1086 FRANKLIN ST
JOHNSTOWN
PA
159054305
Provider Mailing Phone/Fax
| Phone: | 8144108300 |
| Fax: | 8144108331 |