NPI 1376825737

Lael Larrice Davis

Practitioner Private Vehicle Dorchester, MA

Practice location

Address: 85 Pleasant St #3, Dorchester, MA 02125-1835
Phone: (857) 246-0114

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence S58610611 (MA)

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Registry record

NPI: 1376825737
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2011
Record last updated: 12 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.