Individual
LAVISHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3949 LANTANA PL, VIRGINIA BEACH, VA 23456-4907
(757) 765-0322
Mailing address
3949 LANTANA PL, VIRGINIA BEACH, VA 23456-4907
(757) 765-0322
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343900000X
—
VA
Enumeration date
08/30/2021
Last updated
08/30/2021
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