Individual provider · Type 1 NPI

Marylou Lacomb-Davis, CPNP-PC

Pediatric Nurse Practitioner · Augusta, GA

NPI number 1881946374 Active

Practice location

987 Saint Sebastian Way
Augusta, GA 30912-2613

Other practice locations

  • 4255 Altamont Place, Suite 301, White Plains, MD 20695 · (301) 645-1781

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XAC001077 (MD)
Pediatric Nurse Practitioner 363LP0200XR207282 (MD)
Pediatric Nurse Practitioner 363LP0200XRN960827 (DC)
Pediatric Nurse Practitioner 363LP0200X0024164874 (VA)
Pediatric Nurse Practitioner Primary 363LP0200XRN250156 (GA)

Pediatric Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1881946374

Marylou Lacomb-Davis, CPNP-PC's National Provider Identifier is 1881946374, issued on Oct 8, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Augusta, GA. The record was last updated on Jan 28, 2021.