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Lamont A Davis, FNP
Family Nurse Practitioner in Longview, Texas
NPI 1215271481

Lamont A Davis is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. Lamont A Davis practices in Longview, TX and has the professional credentials of FNP. The NPI Number for Lamont A Davis is 1215271481 and holds a License No. AP122827 (Texas).

The current practice location address for Lamont A Davis is 703 E Marshall Ave Ste 5008, Longview, TX and can be reached out via phone at 903-315-4880.

Location: 703 E Marshall Ave Ste 5008, Longview, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215271481
Provider Name
Lamont A Davis
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
703 E Marshall Ave Ste 5008, Longview, TX, 75284-6098
Phone Number
903-315-4880
Fax Number
Provider Enumeration Date
11/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
804031 01 TX MEDICARE
809525 01 TX MEDICARE
institution
Provider Business Practice Location Address Details
Address
703 E Marshall Ave Ste 5008
City
Longview
State
Texas
Zip
75601
Phone Number
903-315-4880
Fax Number
person
Provider Business Mailing Address Details
Address
703 E Marshall Ave Ste 5008
City
Longview
State
Texas
Zip
75601
Phone Number
903-315-4880
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP122827 (Texas)
Definition
Definition to come...
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