| NPI | 1659476737 |
|---|---|
| Professional Name | LACY DAWN DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT MED-PAC-LIC-26013) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA-622) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: ID PA622) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ID PA622) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2021-04-29 |