| Doctor Name: | LUKE A DAVIS |
| NPI Number: | 1073869905 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CNP |
| License Number: | COA13524-NP |
| Business Practice Address: | 486 W Perry St Tiffin, OH - 448831902 |
| Business Phone Number: | 4194558140 |
| Business Fax Number: | 4192258878 |
| Mailing Address: | 441 E 8th St, LIMA |
| State: | OH |
| Postal Code: | 458042482 |
| Phone Number: | 4192213072 |
| Fax Number: | 4192258878 |
| NPI Enumeration Date: | 07/30/2012 |
| NPI Last Update Date: | 08/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA13524-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |