Individual provider · Type 1 NPI

Lisa Jane Ealy Cavanaugh

Physician Assistant · Grand Rapids, MI

NPI number 1245658657 Active

Practice location

100 Michigan St NE, Suite A721
Grand Rapids, MI 49503-2560

Call (616) 391-3139 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601006950 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1245658657

Lisa Jane Ealy Cavanaugh's National Provider Identifier is 1245658657, issued on Apr 2, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 22, 2021.