Individual
LUCRETIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2406 W BROADWAY, LOUISVILLE, KY 40211-1008
(502) 775-1211
Mailing address
2406 W BROADWAY, LOUISVILLE, KY 40211-1008
(502) 775-1211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014452
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN1123437
LICENSE
KY
Enumeration date
03/10/2020
Last updated
10/01/2025
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