Walters, Lacy Dawn Davis
Walters, Lacy Dawn Davis is an individual health care provider with primary practice located at 2550 E Broadway St , Helena MT 59601-4905. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Hand Surgery. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Walters, Lacy Dawn Davis can be contacted via phone (208) 724-4410.Contact Information
Primary practice address
2550 E Broadway St
Helena MT 59601-4905
Phone: (208) 724-4410
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MED-PAC-LIC-26013 | Montana |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-622 | Idaho |
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | PA622 | Idaho |
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | PA622 | Idaho |
Profile Details
NPI number | 1659476737 |
---|---|
LBN Legal business name | Walters, Lacy Dawn Davis |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2006 |
Last updated | Apr 29th, 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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