Individual
LORNA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
6201 ROOSEVELT RD, BERWYN, IL 60402-1108
(708) 386-0845
Mailing address
2600 N LAKEVIEW AVE APT 4F, CHICAGO, IL 60614-1834
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209-003582
IL
Other
Enumeration date
08/08/2006
Last updated
12/23/2019
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