Organization
LORRAINE E. DAVIS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRAINE E DAVIS MD (OWNER)
(518) 868-2026
Entity
Organization
Contact information
Practice address
109 SIDNEY ROAD, HOWES CAVE, NY 12092
(518) 868-2026
(518) 868-2027
Mailing address
109 SIDNEY ROAD, HOWES CAVE, NY 12092
(518) 868-2026
(518) 868-2027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
145901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00597071
—
NY
01
—
66E471
EMPIRE BC-BS
NY
01
—
993221
MVP
NY
Enumeration date
06/08/2007
Last updated
08/22/2020
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