Individual
CAROLE P DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805-0001
(781) 744-5100
(781) 744-5743
Mailing address
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805-0001
(781) 744-5100
(781) 744-5743
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
109834
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0375870
—
MA
05
—
110018249A
—
MA
Enumeration date
01/11/2007
Last updated
10/24/2011
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