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Individual

LASANDRA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
150 YELLOW PINE LN, OCHLOCKNEE, GA 31773-2283
(229) 712-5706
Mailing address
2042 CHURCH STREET, MEIGS, GA 31765
(229) 712-5706

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary

Other

Enumeration date
04/11/2025
Last updated
04/11/2025
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