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Lisa Michele Mctavish, MD
Family Medicine Physician in Lafayette, Indiana
NPI 1982673687

Lisa Michele Mctavish is a Family Medicine Physician based in Muncie, IN. Lisa Michele Mctavish practices in Lafayette, IN and has the professional credentials of MD. The NPI Number for Lisa Michele Mctavish is 1982673687 and holds a License No. 01044255A (Indiana).

The current practice location address for Lisa Michele Mctavish is 1500 Salem St, Lafayette, IN and can be reached out via phone at 765-448-8000 and via fax at 765-379-3312.

Location: 1500 Salem St, Lafayette, IN, 47303-4988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982673687
Provider Name
Lisa Michele Mctavish
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1500 Salem St, Lafayette, IN, 47303-4988
Phone Number
765-448-8000
Fax Number
765-379-3312
Provider Enumeration Date
03/15/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200083620 05 IN
9007117 01 IN PHCS PID NUMBER
000000197894 01 IN ANTHEM PROVIDER NUMBER - FAMILY MEDICINE
10825581 01 IN CAQH NUMBER
000000990880 01 IN ANTHEM PROVIDER NUMBER - DERMATOLOGY
000000877221 01 IN ANTHEM PROVIDER NUMBER - URGENT CARE
institution
Provider Business Practice Location Address Details
Address
1500 Salem St
City
Lafayette
State
Indiana
Zip
47904-2164
Phone Number
765-448-8000
Fax Number
765-379-3312
person
Provider Business Mailing Address Details
Address
1500 Salem St
City
Lafayette
State
Indiana
Zip
47904-2164
Phone Number
765-448-8000
Fax Number
765-379-3312
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
01044255A (Indiana)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
01044255A (Indiana)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01044255A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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