Larueen J Davis

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

403114985 Issued in MI

Practice address

24506 Quad Park LN
Clinton Township, MI 48035-3024

Phone

(313) 618-2756

NPI assigned

Dec 12, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1154836294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24506 QUAD PARK LN",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353024",
            "telephone_number": "313-618-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24506 QUAD PARK LN",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353024",
            "telephone_number": "313-618-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LARUEEN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "403114985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Y Cho MD PC
• Jillian Diane Davis-Baumann, D.O
• Anika Davis-Watley, LMSW
• Brett Davis, COTA
• David K Davis, M.D.
• Lindsey Renee Davis, LLMSW
• Miranda Davis, NPA, CPT
• Qiana Elise Davis
• Rachel Davis
• Cheryl Davison

• Licensed Practical Nurse in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.