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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992823082 NPPES
Tennessee Other 4168349 BCBS
Tennessee MEDICAID 33410701 BCBS

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