Individual
DR. LEE W DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
407 N STATE ST, CLARKS SUMMIT, PA 18411-1061
(570) 586-9500
(570) 586-9485
Mailing address
407 N STATE ST, CLARKS SUMMIT, PA 18411-1061
(570) 586-9500
(570) 586-9485
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
OS004835L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009667450004
—
PA
Enumeration date
01/12/2006
Last updated
08/15/2013
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