Individual
LORI D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9739 ROUNDSTONE CIR, FORT MYERS, FL 33967-5156
(419) 575-0305
Mailing address
9739 ROUNDSTONE CIR, FORT MYERS, FL 33967-5156
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9246746
FL
Other
Enumeration date
05/19/2019
Last updated
05/19/2019
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