Provider Demographics
NPI:1871337402
Name:DAVIS, LAUREN ANN (PA)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ANN
Last Name:DAVIS
Suffix:
Gender:
Credentials:PA
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Other - Middle Name:
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Mailing Address - Street 1:355 WESTFIELD RD STE 120A
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-1442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:355 WESTFIELD RD STE 120A
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-1442
Practice Address - Country:US
Practice Address - Phone:317-776-8748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-19
Last Update Date:2025-04-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant