Individual provider · Type 1 NPI

Mia Davidson, LPN

Licensed Practical Nurse · Lawton, OK

NPI number 1740875574 Active

Practice location

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3099

Call (580) 354-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X61156 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1740875574

Mia Davidson, LPN's National Provider Identifier is 1740875574, issued on Mar 3, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lawton, OK. The record was last updated on Mar 3, 2021.