Lane Davenport
Lane Davenport is a Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1111 W 17th StTulsa, OK 74107
Phone: (918) 429-5603
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1427891829 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 14, 2024 |
| Last updated in NPPES | June 14, 2024 |
| Certification date | June 14, 2024 |
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