Davis, Laurie J.

Davis, Laurie J. is an individual health care provider with primary practice located at 420 Golf Club Rd Se Suite 204, Lacey WA 98503-1048. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Davis, Laurie J. can be contacted via phone (360) 493-7469.

Contact Information

Primary practice address
420 Golf Club Rd Se Suite 204 Lacey WA 98503-1048
Phone: (360) 493-7469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30006210 Washington

Profile Details

NPI number 1477633659
LBN Legal business name Davis, Laurie J.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 18 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 1477633659 NPPES
Washington MEDICAID 8233256

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