Individual
LYNN E DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
322 N MAIN ST, KOKOMO, IN 46901-4622
(765) 453-8238
Mailing address
322 N MAIN ST, KOKOMO, IN 46901-4622
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27052813
IN
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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