Healthcare Provider Details

I. General information

NPI: 1740391408
Provider Name (Legal Business Name): LISA DAWN FINN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

459 CONCORD RD
RICHMOND KY
40475-9062
US

IV. Provider business mailing address

459 CONCORD RD
RICHMOND KY
40475-9062
US

V. Phone/Fax

Practice location:
  • Phone: 859-358-1334
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberT2006017759
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number42832
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: