Individual
DR. LISA ANNE HANOVER-PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5960 CASTLEWAY WEST DR, INDIANAPOLIS, IN 46250-1980
(317) 579-8434
Mailing address
5960 CASTLEWAY WEST DR, INDIANAPOLIS, IN 46250-1980
(317) 579-8434
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023277A
IN
Other
Enumeration date
11/25/2019
Last updated
05/27/2026
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