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General NPI Number Information
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NPI Number | 1073246823
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Entity Type | Organization
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Legal Business Name | LINDSAY T DAVIS MD PLLC
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 655 SAW MILL RD STE 5
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City | WEST HAVEN
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State | CT
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Zip | 06516-3964
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Country | US
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Telephone | 203-934-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 655 SAW MILL RD STE 5
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City | WEST HAVEN
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State | CT
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Zip | 06516-3964
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Country | US
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Telephone | 203-934-2222
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. LINDSAY TAYLOR DAVIS
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Credential | MD
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Telephone | 512-554-9436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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