Individual
LISA DONOVAN
Active
Individual
LISA DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
035538
CT
2084P0800X
Psychiatry Physician
Primary
MD15672
RI
2084P0804X
Child & Adolescent Psychiatry Physician
035538
CT
2084P0804X
Child & Adolescent Psychiatry Physician
MD15672
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035538
CT LICENSE
CT
01
—
MD15672
MEDICAL LICENSE
RI
Enumeration date
03/31/2008
Last updated
01/22/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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