Individual
DR. LAVERDIS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 E EAGER ST, BALTIMORE, MD 21202
(410) 522-9800
(410) 522-5136
Mailing address
1501 DIVISION ST, BALTIMORE, MD 21217-3121
(410) 338-3016
(410) 338-3420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D61367
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407062300
—
MD
Enumeration date
10/16/2006
Last updated
11/22/2021
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