Individual
DR. LAURIE MICHELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-2011
Mailing address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-9770
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
288399-1
NY
208000000X
Pediatrics Physician
35.127278
OH
208000000X
Pediatrics Physician
T1931
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
T1931
TX
Other
Enumeration date
07/10/2013
Last updated
07/01/2024
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