Devine, Lillian Regina

Devine, Lillian Regina is an individual health care provider with primary practice located at 5050 Powderhouse Rd , Cheyenne WY 82009-4800. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Devine, Lillian Regina can be contacted via phone (307) 634-1311.

Contact Information

Primary practice address
5050 Powderhouse Rd Cheyenne WY 82009-4800
Phone: (307) 634-1311
Fax: (307) 634-1271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gerontology 163WG0600X 46259 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 46259 Wyoming

Profile Details

NPI number 1609461599
LBN Legal business name Devine, Lillian Regina
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2021
Last updated Sep 27th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609461599 NPPES
Wyoming MEDICAID PENDING

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