Individual
LEE R DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4830 KNIGHTSBRIDGE BLVD, COLUMBUS, OH 43214-2300
(614) 566-5000
Mailing address
PO BOX 710315, CINCINNATI, OH 45271-0001
(513) 852-2448
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35036095
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020544
ANTHEM
—
05
—
0339986
—
OH
Enumeration date
06/29/2006
Last updated
08/23/2007
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