Individual
LAWRENCE ANTHONY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
1882 E 104TH AVE, #936, THORNTON, CO 80233-4309
(720) 363-3145
Mailing address
PO BOX 1288, CROSBY, TX 77532-1288
(218) 324-5660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
SA0001520
CO
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
11/05/2014
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