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NPI Code Detail

MEDICARE: LAURA DAVIS RN

MEDICARE: LAURA DAVIS RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QG0300XGeriatric Medicine (Family Medicine) PhysicianRN563430PA

General Provider Information

NPI Number : 1588521991
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA DAVIS RN
Provider Business Mailing Address
First Line : 1233 ROUTE 68
Second Line :
City : NEW BRIGHTON
State : PA
Zip : 15066-4106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 353 N DUFFY RD
Second Line :
City : BUTLER
State : PA
Zip : 16001-1138
Country : US
Telephone Number : 878-271-6950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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