Individual provider · Type 1 NPI
Theodora Lacy Davis
Nurse Practitioner · Erie, PA
Practice location
120 E 2nd St Ste 400
Erie, PA 16507-1577
Mailing address
808 Michigan Blvd
Erie, PA 16505-3810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | SP034083 (PA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
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About NPI 1730054271
Theodora Lacy Davis's National Provider Identifier is 1730054271, issued on Oct 6, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Erie, PA. The record was last updated on Oct 6, 2025.