National Provider Identifier

Lisa Davis

Lisa Davis is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Elmira, NY and a listed phone number of (607) 733-4504.

NPI 1841468949Elmira, NYLicensed Practical Nurse

Profile Overview

NPI
1841468949
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 12, 2008
Last Updated
February 12, 2008

Practice Location

  • 1300 College Ave Ste 3
  • Elmira, NY 14901-1154

Phone: (607) 733-4504

Mailing Address

  • 5018 Hornby RD
  • Beaver Dams, NY 14812-9608

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1841468949
Entity Type
Individual
Last Name
Davis
First Name
Lisa
Mailing Street Address
5018 Hornby RD
Mailing City
Beaver Dams
Mailing State
NY
Mailing ZIP Code
14812-9608
Mailing Country
US
Practice Street Address
1300 College Ave Ste 3
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-1154
Practice Country
US
Practice Phone
(607) 733-4504
Enumeration Date
February 12, 2008
Last Updated
February 12, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)