Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lester Gallivan

Individual provider Neurodevelopmental Disabilities Physician · NPI 1437787934

Lester Gallivan is a Neurodevelopmental Disabilities Physician in Louisville, Kentucky. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020

Practice location Address checks out

500 S Preston St Rm 113
Louisville, KY 40202-1702
Phone: (502) 852-4277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1919 E Thomas Rd, Phoenix, AZ 85016-7710 — (602) 933-0970

Specialties & licences

Neurodevelopmental Disabilities Physician (primary) Taxonomy 2084P0005X · Licence 80484 (AZ)

Record details

NPI number1437787934
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address2108 E Thomas Rd, Phoenix, AZ 85016-7761