Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA ANN CAVINESS, PHARM. D.
Active Sole ProprietorAmbulatory Care Pharmacist · FORT CAMPBELL, KY
Registration Details
- NPI Number
- 1417522806
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 26, 2021 (4.9061466775416 yrs)
- Last Updated
- Mar 14, 2024
- License
-
0000044179 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
650 JOEL DRFORT CAMPBELL, KY, 422235318Browse KY providers · Browse ZIP 42223
- Phone
- 9314312800
- Primary Specialty
-
Ambulatory Care Pharmacist
1835P2201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.