Lacomb-Davis, Marylou

Lacomb-Davis, Marylou is an individual health care provider with primary practice located at 987 Saint Sebastian Way , Augusta GA 30912-2613. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lacomb-Davis, Marylou can be contacted via phone (706) 721-9847.

Contact Information

Primary practice address
987 Saint Sebastian Way Augusta GA 30912-2613
Phone: (706) 721-9847
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AC001077 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R207282 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN960827 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024164874 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN250156 Georgia

Profile Details

NPI number 1881946374
LBN Legal business name Lacomb-Davis, Marylou
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2012
Last updated Jan 28th, 2021 - about 4 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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