Individual
MS. LAUREN KAREE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10668 LYDIA LN, DANVILLE, AR 72833-6890
(479) 495-9982
(479) 495-2622
Mailing address
6816 RUSHING RD, LAMAR, AR 72846-9019
(479) 495-2622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3498
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT3498
STATE LIC
AR
Enumeration date
11/03/2012
Last updated
11/03/2012
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