Davis, Lasan

Davis, Lasan is an individual health care provider with primary practice located at 203 West Lee Street , Tuskegee AL 36083. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Lasan can be contacted via phone (334) 727-7050.

Contact Information

Primary practice address
203 West Lee Street Tuskegee AL 36083
Phone: (334) 727-7050
Fax: (334) 727-6284
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13059 Alabama

Profile Details

NPI number 1790726867
LBN Legal business name Davis, Lasan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Apr 7th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790726867 NPPES
Alabama Other 51524383 BLUE CROSS BLUE SHIELD

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