Organization
LAPIS LUNA MIND AND BODY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA ANNE DAVIS DNP, PMHNP-C, FNP-C (OWNER)
(843) 287-1234
Entity
Organization
Contact information
Practice address
108 N 8TH ST, SUNDANCE, WY 82729
(843) 287-1234
Mailing address
PO BOX 1173, SUNDANCE, WY 82729-1173
(843) 287-1234
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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