Individual
LILIAN EFOSA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2216 TRITON DR, MCKINNEY, TX 75071-1290
(214) 469-8328
Mailing address
2216 TRITON DR, MCKINNEY, TX 75071-1290
(121) 446-9832
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1120093
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1120093
TX
Other
Enumeration date
09/06/2023
Last updated
11/15/2024
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