Individual provider · Type 1 NPI

Lisa Mondo Davis, NP-C

Adult Health Nurse Practitioner · West Columbia, SC

NPI number 1770128613 Active

Practice location

2728 Sunset Blvd Ste 400
West Columbia, SC 29169-4872

Fax (803) 744-4938

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other practice locations

  • 90 Summit Centre Dr, Columbia, SC 29229-6926 · (803) 744-4940

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X23416 (SC)

Adult Health Nurse Practitioner: Definition to come...

22 other providers at this address

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About NPI 1770128613

Lisa Mondo Davis, NP-C's National Provider Identifier is 1770128613, issued on Nov 14, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in West Columbia, SC. The record was last updated on Jul 17, 2024.