Davidson, Lori L

Davidson, Lori L is an sole proprietor health care provider with primary practice located at 107 N State Road 135 Suite 102, Greenwood IN 46142-1351. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Davidson, Lori L can be contacted via phone (317) 893-3131.

Contact Information

Primary practice address
107 N State Road 135 Suite 102 Greenwood IN 46142-1351
Fax: (317) 893-3141
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01037737A Indiana

Profile Details

NPI number 1770583734
LBN Legal business name Davidson, Lori L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Feb 21st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770583734 NPPES
Indiana MEDICAID 100194210A

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