Individual
LISA DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9915 KENNERLY RD # J, SAINT LOUIS, MO 63128-2703
(314) 843-4794
Mailing address
9915 KENNERLY RD # J, SAINT LOUIS, MO 63128-2703
(314) 843-4794
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2010024466
MO
Other
Enumeration date
08/18/2010
Last updated
04/01/2016
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