LISA MICHELE MCTAVISH

LAFAYETTE, IN
NPI1982673687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01044255A)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IN  01044255A)
207N00000X Dermatology
(Licence: IN  01044255A)
Enumeration Date2006-03-15
Last Update Date2021-01-27
Business Address
LISA MICHELE MCTAVISH MD
1500 SALEM ST
LAFAYETTE, IN 47904-2164
Phone number: 765-448-8000
Mailing Address
LISA MICHELE MCTAVISH MD
1200 W WHITE RIVER BLVD
MUNCIE, IN 47303-4988
Phone number: 877-668-5621