Davis, Lara M

Davis, Lara M is an individual health care provider with primary practice located at 3452 Genesys Pkwy , Grand Blanc MI 48439-7334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Davis, Lara M can be contacted via phone (810) 606-7550.

Contact Information

Primary practice address
3452 Genesys Pkwy Grand Blanc MI 48439-7334
Phone: (810) 606-7550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005217 Michigan

Profile Details

NPI number 1740364124
LBN Legal business name Davis, Lara M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 12th, 2021 - about 4 years ago

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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