Doctor Name: | LAWRENCE ANTHONY DAVIS |
NPI Number: | 1275850802 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CSFA |
License Number: | SA0001520 |
Business Practice Address: | 1882 E 104th Ave #936 Thornton, CO - 802334309 |
Business Phone Number: | 7203633145 |
Business Fax Number: | |
Mailing Address: | Po Box 1288, CROSBY |
State: | TX |
Postal Code: | 775321288 |
Phone Number: | 2183245660 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2010 |
NPI Last Update Date: | 11/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | SA0001520 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |