Organization
LAPIS LUNA MIND AND BODY CENTER LLC
Active
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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