Individual
LISA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HP, LMT
Contact information
Practice address
3717 E THOUSAND OAKS BLVD, WESTLAKE VILLAGE, CA 91362-3607
(818) 300-3135
Mailing address
3717 E THOUSAND OAKS BLVD, WESTLAKE VILLAGE, CA 91362-3607
(818) 300-3135
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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