Donovan, Lisa

Donovan, Lisa is an sole proprietor health care provider with primary practice located at 27 Red Cross Ave , Newport RI 02840-3316. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Donovan, Lisa can be contacted via phone (860) 662-0273.

Contact Information

Primary practice address
27 Red Cross Ave Newport RI 02840-3316
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 035538 Connecticut
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD15672 Rhode Island
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 035538 Connecticut
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD15672 Rhode Island

Profile Details

NPI number 1770755720
LBN Legal business name Donovan, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2008
Last updated Jan 22nd, 2024 - about last year

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 1770755720 NPPES
Connecticut Other 035538 CT LICENSE
Connecticut Other MD15672 CT LICENSE

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