Lori L Davidson is a Specialist in Greenwood, Indiana. Lori L Davidson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lori L Davidson is 1770583734. The last update date is 2019-10-03.
Lori L Davidson's current location address is 107 N State Road 135 Ste 102, Greenwood, Indiana. You can contact this provider via phone number 3178933131 and fax number 3178932445. The mailing address for Lori L Davidson is 107 N State Road 135 Ste 102, Greenwood, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori L Davidson |
|---|---|
| Address | 107 N State Road 135 Ste 102, Greenwood, Indiana |
| Phone Number | 3178933131 |
| Fax Number | 3178932445 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770583734 |
|---|---|
| Provider Enumeration Date | 2005-07-29 |
| Last Updated Date | 2019-10-03 |
Provider Mailing Address Detail
| Address | 107 N State Road 135 Ste 102 |
|---|---|
| City | Greenwood |
| State | Indiana (IN) |
| Post Code | 461421352 |
| Phone Number | 3178933131 |
| Fax Number | 3178932445 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 01037737A |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100194210A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lori L Davidson by the Centers for Medicare & Medicaid Services?
The Lori L Davidson has been issued the NPI (National Provider Identifier) 1770583734 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Lori L Davidson is physically located?
The Lori L Davidson is situated at the following address: 107 N State Road 135 Ste 102, Greenwood, IN 461421352.
What is Lori L Davidson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lori L Davidson is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When did the Lori L Davidson receive its 1770583734?
The Lori L Davidson was issued its 1770583734 on 2005-07-29, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Lori L Davidson most recently updated or revised?
The information pertaining to Lori L Davidson, including its address, specialty, and other relevant details, was last updated or revised on 2019-10-03.