Individual
LORRIE D DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
25442 ALA HWY 127, ELKMONT, AL 35620
(256) 732-3712
(256) 732-3714
Mailing address
PO BOX 449, ELKMONT, AL 35620-0449
(256) 732-3712
(256) 732-3714
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-084097
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891010160
—
AL
Enumeration date
06/13/2007
Last updated
10/08/2014
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