Provider Demographics
NPI:1659305787
Name:DEVANEY, LANI (DO)
Entity Type:Individual
Prefix:
First Name:LANI
Middle Name:
Last Name:DEVANEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LANI
Other - Middle Name:
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:HENRY FORD MEDICAL CENTER STERLING HEIGHTS
Mailing Address - Street 2:3500 FIFTEEN MILE ROAD
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310
Mailing Address - Country:US
Mailing Address - Phone:586-977-9932
Mailing Address - Fax:586-977-6498
Practice Address - Street 1:30205 SCHOENHERR RD
Practice Address - Street 2:SUITE B
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-6800
Practice Address - Country:US
Practice Address - Phone:586-759-7510
Practice Address - Fax:586-759-7791
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101015607208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5101015607OtherMICHIGAN LICENSE