MRS. Lael Larrice Davis

NPI #1376825737 in Dorchester, Massachusetts

Provider Information

NPI Number: 1376825737
Entity Type: Individual
Name: MRS. Lael Larrice Davis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: Sep 12, 2011
Last Updated: Sep 12, 2011

Practice Location

Address: 85 PLEASANT ST
Address 2: #3
City: Dorchester
State: Massachusetts
ZIP Code: 02125-1835
Phone: (857) 246-0114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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