| Doctor Name: | MS. LASONYA ADELE DAVIS |
| NPI Number: | 1003814468 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | NPF13746 |
| Business Practice Address: | 18406 Roscoe Blvd Northridge, CA - 913254107 |
| Business Phone Number: | 8188855480 |
| Business Fax Number: | 8188855086 |
| Mailing Address: | 18406 Roscoe Blvd, NORTHRIDGE |
| State: | CA |
| Postal Code: | 913254107 |
| Phone Number: | 8188855480 |
| Fax Number: | 8188855086 |
| NPI Enumeration Date: | 07/11/2005 |
| NPI Last Update Date: | 05/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NPF13746 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |