Davis, Lauren Hall

Davis, Lauren Hall is an sole proprietor health care provider with primary practice located at 4751 Apache Ave , Jacksonville FL 32210-7659. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Davis, Lauren Hall can be contacted via phone (904) 307-4594.

Contact Information

Primary practice address
4751 Apache Ave Jacksonville FL 32210-7659
Phone: (904) 307-4594
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1801172507
LBN Legal business name Davis, Lauren Hall
Credentials ITDS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2011
Last updated Jan 18th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801172507 NPPES
Florida MEDICAID 222Q00000X

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