Lashanta Davis

NPI 1780336412 · on the registry since 2022 · sole proprietor

Practice

Address: 309 New Indian Trail Ct
Aurora, IL 60506
Phone: (630) 966-4000
Organisation at this address: Association For Individual Development
Association For Individual Development
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 89

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-01-24

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 Illinois