Individual
LAVONDA DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
246 E 1ST ST, LANCASTER, TX 75146-2539
(972) 218-2272
Mailing address
246 E 1ST ST, LANCASTER, TX 75146-2539
(972) 218-2272
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
574224
TX
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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