Individual
LEQUESOR LYNETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1459 WILD BLOSSOM WAY, CASTLE ROCK, CO 80104-7635
(225) 333-9220
(303) 997-9810
Mailing address
1459 WILD BLOSSOM WAY, CASTLE ROCK, CO 80104-7635
(225) 333-9220
(303) 997-9810
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
062770743
CO
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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