Individual provider · Type 1 NPI
Alison Davis-Lavandosky, PA-C
Medical Physician Assistant · Hollywood, FL
NPI number
1124398078
Active
Practice location
3501 Johnson Street
Hollywood, FL 33027
Mailing address
1117 East Hallandale Beach Blvd
Hallandale, FL 33009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA 9101277 (FL) |
Medical Physician Assistant: Definition to come...
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About NPI 1124398078
Alison Davis-Lavandosky, PA-C's National Provider Identifier is 1124398078, issued on Jan 10, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hollywood, FL. The record was last updated on Mar 23, 2021.