Individual
MR. LONNIE RAY DAVIS, JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSS, ATC, LAT
Contact information
Practice address
4600 W LAKE RD, WEST LAKE MIDDLE SCHOOL, APEX, NC 27539-7657
(919) 662-2918
(919) 662-2906
Mailing address
740 E FRANKLIN ST, CHAPEL HILL, NC 27514-3823
(919) 928-9099
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0091
NC
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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