MS. Lesa Elaine Davis, PA C

NPI #1720025216 in Rolla, Missouri

Provider Information

NPI Number: 1720025216
Entity Type: Individual
Name: MS. Lesa Elaine Davis, PA C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA C
Enumeration Date: Jun 1, 2006
Last Updated: Jun 23, 2010

Practice Location

Address: 600 BLUES LAKE PKWY
City: Rolla
State: Missouri
ZIP Code: 65401-8022
Phone: (573) 364-8823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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