Individual
MRS. LISA K CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3229 SUMMIT SQUARE PL STE 200, LEXINGTON, KY 40509-2647
(859) 333-1477
(859) 543-0079
Mailing address
3229 SUMMIT SQUARE PL STE 200, LEXINGTON, KY 40509-2647
(859) 333-1477
(859) 543-0079
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3006792
KY
363LF0000X
Family Nurse Practitioner
3006792
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100180000
—
KY
Enumeration date
03/03/2011
Last updated
08/17/2024
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