Individual
LISA MICHELLE DELANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1216 DEADRA DR, LEBANON, MO 65536-4669
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2003018907
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208730804
—
MO
01
—
310348832
BNDD
MO
Enumeration date
03/05/2007
Last updated
03/07/2023
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