Healthcare Provider Details
I. General information
NPI: 1720252281
Provider Name (Legal Business Name): LISA DAWN MAYS PH.D., AUDIOLOGY
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/16/2008
Last Update Date: 08/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1720 NICHOLASVILLE RD STE 500
LEXINGTON KY
40503-1404
US
IV. Provider business mailing address
1720 NICHOLASVILLE RD STE 500
LEXINGTON KY
40503-1404
US
V. Phone/Fax
- Phone: 859-278-1114
- Fax: 859-277-0541
- Phone: 859-278-1114
- Fax: 859-277-0541
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | A301233 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | A.01233 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 0376 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: