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Individual

LESA ANN DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
100 GRAY ST, ELIZABETHTOWN, KY 42701-2608
(270) 360-0419
(270) 360-1609
Mailing address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
(270) 234-8572

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1065266
KY

Other

Enumeration date
08/02/2012
Last updated
08/02/2012
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