Provider Demographics
NPI:1740391408
Name:FINN, LISA DAWN (MD)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:DAWN
Last Name:FINN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 12TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CLAY CITY
Mailing Address - State:KY
Mailing Address - Zip Code:40312-8979
Mailing Address - Country:US
Mailing Address - Phone:606-663-9011
Mailing Address - Fax:
Practice Address - Street 1:108 12TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CLAY CITY
Practice Address - State:KY
Practice Address - Zip Code:40312-8979
Practice Address - Country:US
Practice Address - Phone:606-663-9011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOT2006017759207R00000X
KY42832207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine