Individual
MRS. LISA MICHELLE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
4895 FAYETTEVILLE RD, LUMBERTON, NC 28358
(910) 738-4554
(910) 739-4027
Mailing address
4895 FAYETTEVILLE RD, LUMBERTON, NC 28358
(910) 738-4554
(910) 739-4027
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3471
NC
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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