Most Relevant Information
Provider Data
| NPI Number: | 1003814468 |
| Provider Name: | LASONYA ADELE DAVIS NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | NPF13746 |
Most Important Dates
| Enumeration Date: | 07/11/2005 |
| Last Updated: | 09/13/2022 |
Provider Practice Location
2400 S C ST
OXNARD
CA
930334555
Practice Location Phone/Fax
| Phone: | 8052407000 |
| Fax: |
Provider Mailing Location
18406 ROSCOE BLVD
NORTHRIDGE
CA
913254107
Provider Mailing Phone/Fax
| Phone: | 8188855480 |
| Fax: | 8188855086 |