Provider Demographics
NPI:1396008850
Name:DAVIS, LASHAUNA MCCURDY
Entity Type:Individual
Prefix:MRS
First Name:LASHAUNA
Middle Name:MCCURDY
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 AMBER FALLS LN
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89081-2902
Mailing Address - Country:US
Mailing Address - Phone:702-776-6728
Mailing Address - Fax:702-405-9361
Practice Address - Street 1:3925 N MARTIN LUTHER KING BLVD
Practice Address - Street 2:STE 212
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032
Practice Address - Country:US
Practice Address - Phone:702-776-6728
Practice Address - Fax:702-405-9361
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner