Individual
LISA L DELONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1435 W MAIN ST, DOTHAN, AL 36301-1311
(334) 794-7847
Mailing address
1435 W MAIN ST, DOTHAN, AL 36301-1311
(334) 794-7847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F02240726
AL
363L00000X
Nurse Practitioner
1-065545
AL
363L00000X
Nurse Practitioner
Primary
F02240726
AL
Other
Enumeration date
03/01/2024
Last updated
10/30/2024
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