Provider Demographics
NPI:1215194758
Name:CAVELL, LIANNE K (MD)
Entity Type:Individual
Prefix:DR
First Name:LIANNE
Middle Name:K
Last Name:CAVELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 740177
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33474-0177
Mailing Address - Country:US
Mailing Address - Phone:561-496-0808
Mailing Address - Fax:561-496-3728
Practice Address - Street 1:4675 LINTON BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6615
Practice Address - Country:US
Practice Address - Phone:561-496-0808
Practice Address - Fax:561-496-3728
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2017-01-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME115795207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology