Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marylou Lacomb-Davis, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1881946374

Marylou Lacomb-Davis, CPNP-PC is a Pediatric Nurse Practitioner in Augusta, Georgia. Works from 2 locations. Licensed in District of Columbia, Georgia, Maryland and Virginia.

Licensed in
DC, GA, MD, VA
In the registry since
2012
Specialties on file
5
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Practice location Address checks out

987 Saint Sebastian Way
Augusta, GA 30912-2613
Phone: (706) 721-9847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence RN250156 (GA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence AC001077 (MD)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence R207282 (MD)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN960827 (DC)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 0024164874 (VA)

Record details

NPI number1881946374
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedOctober 8, 2012
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021

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