Lequesor Lynette Davis
NPI #1225546443 in Castle Rock, Colorado
Provider Information
- NPI Number
- 1225546443
- Entity Type
- Individual
- Name
- Lequesor Lynette Davis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jan 22, 2018
- Last Updated
- Jan 22, 2018
Practice Location
- Address
- 1459 WILD BLOSSOM WAY
- City
- Castle Rock
- State
- Colorado
- ZIP Code
- 80104-7635
- Phone
- (225) 333-9220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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