Individual provider · Type 1 NPI

Lorell Davis

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1447905930 Active

Practice location

34101 Farenholt Ave # BLDNG14
San Diego, CA 92134-7000

Mailing address

819 D Ave Unit 104
National City, CA 91950-3465

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447905930

Lorell Davis's National Provider Identifier is 1447905930, issued on Feb 14, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Feb 14, 2022.