Lesa Elaine Davis PA C

NPI 1720025216 - Physician Assistant - 363A00000X

NPI Details
NPI 1720025216
Gender Female
Enumeration Date 06/01/2006
Last Updated 06/23/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
600 BLUES LAKE PKWY
ROLLA MO, 65401-8022, US
Phone (573) 364-8823
Fax (573) 341-5969
Business Location
600 BLUES LAKE PKWY
ROLLA MO, 65401-8022, US
Phone (573) 364-8823
Fax (573) 341-5969
Toxanomy
Taxonomy Code 363A00000X
License State Missouri
License Number 2006005292
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According to our database, Ms. Lesa Elaine Davis PA C NPI is 1720025216, taxonomy code is 363A00000X and license number is 2006005292, license state is located at Missouri. Lesa Elaine Davis PA C physically located at 600 Blues Lake Pkwy, Rolla MO, 65401-8022. NPI Number Lesa Elaine Davis PA C has the Individual type.

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1720025216 NPI number is provided on an as is basis without warranty of any kind. 1720025216 is maintained by the National Plan & Provider Enumeration System. The contents of Lesa Elaine Davis PA C are for informational purposes only.