Davis, Lonnie D

Davis, Lonnie D is an individual health care provider with primary practice located at 1635 N George Mason Dr Ste 180 , Arlington VA 22205-3633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Davis, Lonnie D can be contacted via phone (301) 530-1010.

Contact Information

Primary practice address
1635 N George Mason Dr Ste 180 Arlington VA 22205-3633
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 0101239878 Virginia

Profile Details

NPI number 1962447904
LBN Legal business name Davis, Lonnie D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Apr 13th, 2021 - about 3 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 1962447904 NPPES
Virginia Other 541439176 TAX ID

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