Most Relevant Information
Provider Data
| NPI Number: | 1003573635 |
| Provider Name: | LISA CHRISTINE GAINES DNP, APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 3016954 |
Most Important Dates
| Enumeration Date: | 11/18/2021 |
| Last Updated: | 08/11/2023 |
Provider Practice Location
300 W DIXIE AVE
ELIZABETHTOWN
KY
427011704
Practice Location Phone/Fax
| Phone: | 5026449162 |
| Fax: |
Provider Mailing Location
4507 MEADOWLARK MANOR LN
LOUISVILLE
KY
402452702
Provider Mailing Phone/Fax
| Phone: | 5026449162 |
| Fax: |