Individual
MS. LISA ANN DEVONICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3000 VISTA BLVD, SPARKS, NV 89436-6702
(775) 359-7044
Mailing address
6242 BLACK CINDER CT, SPARKS, NV 89436-7020
(407) 284-0568
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18336
NV
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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