Individual
LESLEY NICOLE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1760 NICHOLASVILLE RD STE 406, LEXINGTON, KY 40503
(859) 260-6580
Mailing address
1760 NICHOLASVILLE RD STE 406, LEXINGTON, KY 40503-1444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R2903
KY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
48483
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2012
Last updated
07/03/2018
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