Lisa Lenae Carney, NP
Nurse Practitioner, Family in Springfield, IL. Individual provider (NPI-1).
NPI number1790282937
StatusActive
Last updated in NPPESMay 21, 2020
Details
- NPI
- 1790282937
- Entity type
- Individual (NPI-1)
- Name
- Lisa Lenae Carney
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2018
- Certification date
- May 21, 2020
- Last updated
- May 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209017403 | IL | Yes |
Other names
- Lisa Lenae Lovgren (Former Name)
Practice location
1025 S 6th StSpringfield, IL 62703-2403
Phone 217-528-7541 · Fax 217-525-4535
Mailing address
1025 S 6th StSpringfield, IL 62703-2499
Phone 217-528-7541
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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