Individual
DR. LARA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
505 N PARK AVE STE 201, WINTER PARK, FL 32789-3268
(407) 641-1431
Mailing address
505 N PARK AVE STE 201, WINTER PARK, FL 32789-3268
(407) 641-1431
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9916
FL
Other
Enumeration date
10/31/2017
Last updated
04/20/2018
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