Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marvin Lewis Davis Jr.

Individual provider Specialist · NPI 1417756594

Marvin Lewis Davis Jr. is a Specialist in Omaha, Nebraska. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4715 S 132nd St
Omaha, NE 68137-1899
Phone: (402) 444-6500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1417756594
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

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