Individual
LORRAINE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 ORTHO LN, ATLANTA, GA 30329-2315
(678) 841-7405
Mailing address
4282 LEHAVEN CIR, TUCKER, GA 30084-3537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN249292
GA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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