Lana J Davenport MD PLC
Organization Active NPI Psychiatry Physician · Russell, KY
NPI 1992037337 · NPPES record last updated Jun 27, 2011
Key facts
- NPI
- 1992037337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 42000 (KY)
- Legal business name
- LANA J DAVENPORT MD PLC
- Practice address
- 1451 Diederich Blvd
Russell, KY 41169-1718 - Phone
- (606) 547-4536
- Fax
- (866) 511-5587
- NPI assigned
- Feb 10, 2010
- Organization subpart
- No
Authorized official
- Name
- Lana J Davenport, MD
- Title
- Owner
- Phone
- (606) 547-4536
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | 42000 | KY | Yes |
Addresses
Primary practice location
1451 Diederich Blvd
Russell, KY 41169-1718
Mailing address
1451 Diederich Blvd
Russell, KY 41169-1718
Phone (606) 547-4536
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100050630 | Medicaid | KY | |
| 2863558 | Medicaid | OH |
Other providers in Russell, KY
- Inspire Therapy Services, LLC
- Interhope Christian Counseling PLLC
- Allison Charee Jackson
- Courtney Joyce
- Melissa Gayle King
- Angela Dawn Lewis
- Susan M. Lichtenberger
- Manish Parikh MD
- Nadele McCarty
- Elmer H Mullins Jr.
All providers in Russell, KY · Psychiatry Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.