Lisa A. Cavanaugh, M.d., P.c.

NPI #1265461412 in Glen Head, New York

Provider Information

NPI Number: 1265461412
Entity Type: Organization
Organization Name: Lisa A. Cavanaugh, M.d., P.c.
Primary Specialty: Pediatrics
Enumeration Date: Jul 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 77 GLENWOOD RD
City: Glen Head
State: New York
ZIP Code: 11545-1221
Phone: (516) 759-1131

Authorized Official

Name: DR. LISA ANNE CAVANAUGH, M.D., F.A.A.P.
Title: CEO / MEDICIAL DIRECTOR
Phone: (516) 759-1131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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