Individual
LANI DEVANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
30205 SCHOENHERR RD, SUITE B, WARREN, MI 48088-6800
(586) 759-7510
(586) 759-7791
Mailing address
HENRY FORD MEDICAL CENTER STERLING HEIGHTS, 3500 FIFTEEN MILE ROAD, STERLING HEIGHTS, MI 48310
(586) 977-9932
(586) 977-6498
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101015607
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101015607
MICHIGAN LICENSE
MI
Enumeration date
07/11/2006
Last updated
04/09/2021
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