Organization
WOKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE DAVIS CSFA (OWNER)
(720) 363-3145
Entity
Organization
Contact information
Practice address
1336 E 101ST AVE, THORNTON, CO 80229-3970
(281) 346-3480
(281) 462-4106
Mailing address
PO BOX 1789, CROSBY, TX 77532-1789
(720) 363-3145
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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