Search › Michigan › 374J00000X
Laveta Davenport
NPI 1073353504 · on the registry since 2024 · sole proprietor
Practice
- Address
- 19224 Bloom St
Detroit, MI 48234 - Phone
- (586) 565-1188
- Organisation at this address
- Levadeh
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan