Davis, Lisa N

Davis, Lisa N is an individual health care provider with primary practice located at 235 Harvey St , Winston Salem NC 27103-1741. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Davis, Lisa N can be contacted via phone (336) 842-0952.

Contact Information

Primary practice address
235 Harvey St Winston Salem NC 27103-1741
Phone: (336) 842-0952
Fax: (336) 793-3475
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1285 North Carolina

Profile Details

NPI number 1104840578
LBN Legal business name Davis, Lisa N
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jun 4th, 2019 - about 7 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 1104840578 NPPES
North Carolina MEDICAID 7909119

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