Individual
SIR LAWRENCE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1926 HERITAGE PARK DR, APT 118, OKLAHOMA CITY, OK 73120-7586
(918) 830-2626
Mailing address
1926 HERITAGE PARK DR, APT 118, OKLAHOMA CITY, OK 73120-7586
(918) 830-2626
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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