MEDICARE: LISA B DEVENPORT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	023065	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912944364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA B DEVENPORT MD

Provider Business Mailing Address
First Line	:	24 MONTE CARLO DR
Second Line	:
City	:	KENNER
State	:	LA
Zip	:	70065-2029
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 W ESPLANADE AVE
Second Line	:
City	:	KENNER
State	:	LA
Zip	:	70065-2467
Country	:	US
Telephone Number	:	800-893-9698
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	03/26/2015

Similar Medicare Providers

1760474084 — DR. GEORGE NICK GUZZARDO JR. M.D.
Practice Location Address:

180 W ESPLANADE AVE , EMERGENCY DEPARTMENT
KENNER, LA
70065-2467

Practice Phone: 504-464-8015
Practice Fax: 504-464-8538

1013986546 — KENNER EMERGENCY GROUP LLC
Practice Location Address:

180 W ESPLANADE AVE
KENNER, LA
70065-2467

Practice Phone: 504-468-8600
Practice Fax:

1437108297 — LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY G
Practice Location Address:

180 W ESPLANADE AVE , ANESTHESIA DEPT.
KENNER, LA
70065-2467

Practice Phone: 504-468-8600
Practice Fax:

1740237338 — DR. ROY P. BOUCVALT MD
Practice Location Address:

180 W ESPLANADE AVE , ANESTHESIA DEPT.
KENNER, LA
70065-2467

Practice Phone: 504-464-8054
Practice Fax:

1194763862 — DR. MICHELE CAMPISI MD
Practice Location Address:

180 W ESPLANADE AVE
KENNER, LA
70065-2467

Practice Phone: 302-227-8508
Practice Fax:

1043258510 — DR. VANESSA MARIA PIAZZA MD
Practice Location Address:

180 W ESPLANADE AVE
KENNER, LA
70065-2467

Practice Phone: 504-282-2875
Practice Fax:

Directions to “ LISA B DEVENPORT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.