Davis, Lora D
Davis, Lora D is an individual health care provider with primary practice located at 100 Brewster Blvd , Camp Lejeune NC 28547-2538. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Lora D can be contacted via phone (910) 450-4195.Contact Information
Primary practice address
100 Brewster Blvd
Camp Lejeune NC 28547-2538
Phone: (910) 450-4195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 12478 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5009498 | North Carolina |
Profile Details
| NPI number | 1992823082 |
|---|---|
| LBN Legal business name | Davis, Lora D |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Mar 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992823082 | NPPES |
| Tennessee | Other | 4168349 | BCBS |
| Tennessee | MEDICAID | 33410701 | BCBS |
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