Dr. Lisa Victoria Depasquale

Individual provider Military Health Care Provider · NPI 1942273347

Dr. Lisa Victoria Depasquale is a Military Health Care Provider in Gurnee, Illinois. Licensed in Illinois and Virginia. Registered with an NPI since 2006.

Licensed in: IL, VA
In the registry since: 2006
Specialties on file: 2

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Practice location Address checks out

3430 Grand Ave 400
Gurnee, IL 60031-3741
Phone: (847) 782-9860

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary)	Taxonomy 225100000X · Licence 5264199 (IL)
Military Health Care Provider	Taxonomy 171000000X · Licence 2305003849 (VA)

Record details

NPI number	1942273347
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	February 8, 2006
Last updated in NPPES	April 11, 2011