Individual
DR. LEISA W DEVENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7111
(205) 343-8549
Mailing address
PO BOX 934370, ATLANTA, GA 31193-0001
(800) 897-6169
(800) 897-6170
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18211
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000078713
—
AL
Enumeration date
09/09/2005
Last updated
09/19/2024
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