| Doctor Name: | LORRIE D DAVIS |
| NPI Number: | 1659575785 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C.R.N.P. |
| License Number: | 1-084097 |
| Business Practice Address: | 25442 Ala Hwy 127 Elkmont, AL - 35620 |
| Business Phone Number: | 2567323712 |
| Business Fax Number: | 2567323714 |
| Mailing Address: | Po Box 449, ELKMONT |
| State: | AL |
| Postal Code: | 356200449 |
| Phone Number: | 2567323712 |
| Fax Number: | 2567323714 |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 10/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 1-084097 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |