Lana J Davenport MD Plc

NPI #1992037337 in Russell, Kentucky

Provider Information

NPI Number
1992037337
Entity Type
Organization
Organization Name
Lana J Davenport MD Plc
Primary Specialty
Psychiatry & Neurology - Psychiatry
Enumeration Date
Feb 10, 2010
Last Updated
Jun 27, 2011

Practice Location

Address
1451 DIEDERICH BLVD
ZIP Code
41169-1718
Phone
(606) 547-4536

Authorized Official

Name
LANA J DAVENPORT, MD
Title
OWNER
Phone
(606) 547-4536

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - PsychiatryPsychiatry

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