Individual
ELIJAH LORENZO DAVIS
Active
Individual
ELIJAH LORENZO DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
1200374
KS
213ES0131X
Foot Surgery Podiatrist
Primary
2208014928
MO
213ES0131X
Foot Surgery Podiatrist
316
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026125400
—
NE
05
—
1265545966
—
IA
05
—
1265545966
—
MO
05
—
200575140A
—
KS
Enumeration date
08/16/2006
Last updated
11/11/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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