Healthcare Provider Details

I. General information

NPI: 1740614015
Provider Name (Legal Business Name): LAUREN LEIGH DAVIS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date: 04/15/2019
Reactivation Date: 04/17/2019

III. Provider practice location address

64 MEDICAL PARK DR STE D
HELENA MT
59601-4903
US

IV. Provider business mailing address

64 MEDICAL PARK DR STE D
HELENA MT
59601-4903
US

V. Phone/Fax

Practice location:
  • Phone: 406-430-5070
  • Fax: 406-800-5959
Mailing address:
  • Phone: 406-430-5070
  • Fax: 406-800-5959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMED-PAC-LIC-87256
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number87256
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: