Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LANCE CORY DEVERO
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · LAVEEN, AZ
Registration Details
- NPI Number
- 1811667173
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2021 (4.5942375322055 yrs)
- Last Updated
- Sep 17, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
8406 S 49TH LNLAVEEN, AZ, 853392159Browse AZ providers · Browse ZIP 85339
- Phone
- 2156787702
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Other Residential Treatment, Emotionally Disturbed Children Providers in LAVEEN, AZ
| Name | Credential | NPI |
|---|---|---|
| SH'REE JUDE | — | 1851127609 |
| LATESHA EDMON | — | 1770398638 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.