Individual
DR. LYNN ANNETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1721 GOLF COURSE RD SE, RIO RANCHO, NM 87124-1729
(505) 896-2010
(505) 896-2012
Mailing address
1721 GOLF COURSE RD SE, RIO RANCHO, NM 87124-1729
(505) 896-2010
(505) 896-2012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2400
NM
152WC0802X
Corneal and Contact Management Optometrist
2400
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P1975
—
NM
Enumeration date
10/15/2005
Last updated
08/09/2023
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