Organization
LISALYNN, LLC
Active
Other names
Green Pastures Mental Health services
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LYNN HENGEN DNP (OWNER)
(308) 520-2988
Entity
Organization
Contact information
Practice address
1912 BAY RD, DUBOIS, PA 15801
(308) 520-2988
Mailing address
967 TREASURE LK, DU BOIS, PA 15801-9022
(308) 520-2988
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
09/07/2023
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