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Individual

DR. LISA M MCDEVITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
201 N KENHORST BLVD, READING, PA 19607-1535
(610) 796-1300
(610) 796-1913
Mailing address
201 N KENHORST BLVD, READING, PA 19607-1535
(610) 796-1300
(610) 796-1913

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000047
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000175234
HIGHMARK BLUE SHIELD
PA
01
01689801
CAPITAL BLUE CROSS 24K #
PA
01
0202284000
INDEPENDENCE BLUE CROSS
PA
01
02631700
CAPITAL BLUE CROSS
PA
01
113714
GEISINGER HEALTH SYSTEM
PA
01
339637
HEALTHAMERICA/ASSURANCE
PA
01
339637
ADVANTRA FREEDOM
01
410034065
RAILROAD MEDICARE 24K#
01
4650262
AETNA HEALTH INC
PA
01
6762464
CIGNA HEALTH CARE
PA
01
PA06980
VBA ACCOUNT #
PA
Enumeration date
05/23/2005
Last updated
06/30/2010
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