Jacqueline Grainger Davidson

NPI #1093299661 in Lafayette, Colorado

Provider Information

NPI Number: 1093299661
Entity Type: Individual
Name: Jacqueline Grainger Davidson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 19, 2018
Last Updated: Sep 19, 2018

Practice Location

Address: 2540 WESTWARD DR
City: Lafayette
State: Colorado
ZIP Code: 80026-9176
Phone: (720) 841-7379

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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