# DR. LANCE LEE DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003864521
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0005X | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 2007-01496 | NC | — |
| 207Q00000X | Family Medicine Physician | 2007-01496 | NC | Yes |
| 2083A0100X | Aerospace Medicine Physician | 2007-01496 | NC | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2007-01496 | NC | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 20361 | SC | — |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 02/04/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 203611 | — | SC |
| 01 | — | NND684A | PREVENTIVE MED | NC |
| 01 | — | P00401094 | RAILROAD MEDICARE ID | SC |
| 01 | — | P00638318 | RAILROAD MEDICARE ID | SC |