NPI 1861229486

Lindsay Q Davis

Practitioner Driver Lansing, IL

Practice location

Address: 18855 Burnham Ave APT 332, Lansing, IL 60438-3656
Phone: (219) 608-6299

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence D12053564032 (IL)

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Registry record

NPI: 1861229486
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Sep 2024
Record last updated: 17 Sep 2024

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.