Individual
MRS. LALISA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RCP
Contact information
Practice address
25821 VERMONT AVE, HARBOR CITY, CA 90710-3518
(424) 251-7184
Mailing address
12350 DEL AMO BLVD APT 2101, LAKEWOOD, CA 90715-1723
(310) 710-6960
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
168460
CA
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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