Healthcare Provider Details

I. General information

NPI: 1558275875
Provider Name (Legal Business Name): LISA L MCWHORTER RRT-SDS, RPSGT, RST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 LEESTOWN RD
LEXINGTON KY
40511-1052
US

IV. Provider business mailing address

1229 FENWICK RD
LEXINGTON KY
40515-1053
US

V. Phone/Fax

Practice location:
  • Phone: 859-233-4511
  • Fax: 859-281-3938
Mailing address:
  • Phone: 859-233-4511
  • Fax: 859-281-3938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number4586
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: