Lori Davis, NP In Family Health PLLC
Clinic/Center in Ithaca, NY. Organization (NPI-2).
NPI number1801409792
StatusActive
Last updated in NPPESAug 28, 2020
Details
- NPI
- 1801409792
- Entity type
- Organization (NPI-2)
- Legal business name
- Lori Davis, NP In Family Health PLLC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2020
- Certification date
- Aug 28, 2020
- Last updated
- Aug 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
317 N Aurora St Ste 200aIthaca, NY 14850-4201
Phone 607-269-5519
Mailing address
317 N Aurora St Ste 200aIthaca, NY 14850-4201
Phone 607-269-5519
Authorized official
Lori Davis
Owner
6072695519
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