Individual
MRS. LAURA LYNN LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,PHN
Contact information
Practice address
500 N 9TH ST STE A, MODESTO, CA 95350-5814
(209) 525-5300
(209) 558-4586
Mailing address
500 N 9TH ST STE A, MODESTO, CA 95350-5814
(209) 525-5300
(209) 558-4586
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95090801
CA
163WC1500X
Community Health Registered Nurse
552199
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95090801
CA
Other
Enumeration date
12/03/2021
Last updated
06/03/2025
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