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Organization

LANA J DAVENPORT MD PLC

Active
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Organization

LANA J DAVENPORT MD PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANA J DAVENPORT MD (OWNER)
(606) 547-4536
Entity
Organization

Contact information

Practice address
1451 DIEDERICH BLVD, RUSSELL, KY 41169-1718
(606) 547-4536
(866) 511-5587
Mailing address
1451 DIEDERICH BLVD, RUSSELL, KY 41169-1718
(606) 547-4536
(866) 511-5587

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42000
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2863558
OH
05
7100050630
KY
Enumeration date
02/10/2010
Last updated
06/27/2011
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