Provider Demographics
NPI:1720252281
Name:MAYS, LISA DAWN (PHD, AUDIOLOGY)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:DAWN
Last Name:MAYS
Suffix:
Gender:F
Credentials:PHD, AUDIOLOGY
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:DAWN
Other - Last Name:CAHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, AUDIOLOGY
Mailing Address - Street 1:1720 NICHOLASVILLE RD
Mailing Address - Street 2:STE 500
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1404
Mailing Address - Country:US
Mailing Address - Phone:859-278-1114
Mailing Address - Fax:859-277-0541
Practice Address - Street 1:1720 NICHOLASVILLE RD
Practice Address - Street 2:STE 500
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1404
Practice Address - Country:US
Practice Address - Phone:859-278-1114
Practice Address - Fax:859-277-0541
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA301233237600000X
OHA.01233231H00000X
KY0376231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0376OtherKY BOARD OF SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY
KY0376OtherKY BOARD OF SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY
KYK150110Medicare PIN