Davis, Lorraine Theresa

Davis, Lorraine Theresa is an individual health care provider with primary practice located at 3651 College Blvd , Leawood KS 66211-1910. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Davis, Lorraine Theresa can be contacted via phone (913) 218-0807.

Contact Information

Primary practice address
3651 College Blvd Leawood KS 66211-1910
Phone: (913) 218-0807
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PT796 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PT796 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PT796 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-02452 Kansas

Profile Details

NPI number 1710020367
LBN Legal business name Davis, Lorraine Theresa
Credentials MS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Feb 16th, 2022 - about 3 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 1710020367 NPPES
Kansas MEDICAID 1710020367
Kansas MEDICAID 1710020367

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