Renee Lynne Davis, LMP
Specialist in Lynnwood, WA. Individual provider (NPI-1).
NPI number1740458686
StatusActive
Last updated in NPPESFeb 13, 2008
Details
- NPI
- 1740458686
- Entity type
- Individual (NPI-1)
- Name
- Renee Lynne Davis
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2008
- Last updated
- Feb 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | MA00017274 | WA | Yes |
Practice location
3501 Shelby RdSuite C
Lynnwood, WA 98087-3599
Phone 425-745-9052
Mailing address
3501 Shelby RdSuite C
Lynnwood, WA 98087-3599
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