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Organization
LISALYNN, LLC
Active
Organization
LISALYNN, LLC
Active
Other names
Green Pastures Mental Health services
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LYNN HENGEN DNP (OWNER)
(308) 520-2988
Entity
Organization
Contact information
Practice address
1912 BAY RD, DUBOIS, PA 15801
(308) 520-2988
Mailing address
967 TREASURE LK, DU BOIS, PA 15801-9022
(308) 520-2988
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
09/07/2023
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