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Individual
LAVINNE E DAVENPORT
Active
Individual
LAVINNE E DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP134897
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
395092501
—
TX
01
—
395092502
CSHCN
TX
01
—
8KK034
BCBS
TX
Enumeration date
07/25/2017
Last updated
07/21/2022
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