Individual provider · Type 1 NPI
Lisa McKavis
Administrator Registered Nurse · Waukegan, IL
NPI number
1902604556
Active
Practice location
3010 Grand Ave
Waukegan, IL 60085-2321
Mailing address
37 Burnett Ave
Lake Villa, IL 60046-8670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 041375275 (IL) |
Administrator Registered Nurse: Definition to come...
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About NPI 1902604556
Lisa McKavis's National Provider Identifier is 1902604556, issued on Mar 7, 2025. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Waukegan, IL. The record was last updated on Mar 7, 2025.