Provider Demographics
NPI:1528384245
Name:ONEGA, LISA L (NP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:L
Last Name:ONEGA
Suffix:
Gender:F
Credentials:NP
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1006 E MAIN ST
Mailing Address - Street 2:NEW RIVER VALLEY COMMUNITY SERVICES - PULASKI CENTER
Mailing Address - City:PULASKI
Mailing Address - State:VA
Mailing Address - Zip Code:24301-5218
Mailing Address - Country:US
Mailing Address - Phone:540-552-5272
Mailing Address - Fax:540-322-1840
Practice Address - Street 1:1006 E MAIN ST
Practice Address - Street 2:NEW RIVER VALLEY COMMUNITY SERVICES - PULASKI CENTER
Practice Address - City:PULASKI
Practice Address - State:VA
Practice Address - Zip Code:24301-5218
Practice Address - Country:US
Practice Address - Phone:540-552-5272
Practice Address - Fax:540-322-1840
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0001090153163W00000X
VA0024090153363LF0000X
VA0015000373364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health