Individual
LISA GAVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-4500
Mailing address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-4500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26031006A
IN
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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