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Individual

LARA M DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
3452 GENESYS PKWY, GRAND BLANC, MI 48439-7334
(810) 606-7550
Mailing address
3452 GENESYS PKWY, GRAND BLANC, MI 48439-7334
(810) 606-7550

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005217
MI

Other

Enumeration date
10/24/2006
Last updated
04/12/2021
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