DR. LISA RENEE DAVIDSON (NPI# 1124416839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124416839 |
| Entity Type | Individual |
| Full Name | DR. LISA RENEE DAVIDSON |
| Credential | PHARM.D |
| Practice Address |
517 Winchester Dr West Plains MO 65775-3936 |
| Practice Telephone | 4175050558 |
| Mailing Telephone | 4175050558 |
| Enumeration Date | 2015-01-03 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH044299 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966343 | Lisa Davidson | Speech-Language Pathologist | 12933 Erie Pl, Fishers, IN 46037-7832 | 2020-09-09 |
| 1659497600 | Lisa Anita Davidson | Psychologist | 14015 Midland Rd, Poway, CA 92064-3959 | 2007-03-21 |
| 1235185406 | Lisa Diane Davidson | Family Medicine | 2373 Central Park Blvd Unit 205, Denver, CO 80238-2300 | 2006-05-26 |
| 1932101300 | Lisa H Davidson | Audiologist | 904 N Chancery St, Mcminnville, TN 37110-1503 | 2005-08-15 |
| 1285026880 | Lisa Ann Davidson | Registered Nurse | 1800 Nw Myhre Rd, Silverdale, WA 98383-7663 | 2015-02-19 |
| 1740327998 | Lisa Davidson | Audiologist | 4560 Clayton Ave, Saint Louis, MO 63110-1502 | 2007-01-30 |
| 1477627461 | Lisa Elizabeth Davidson | Physical Therapist | 3751 S State Rd, Ionia, MI 48846 | 2006-11-20 |
| 1316900947 | Lisa Davidson | Internal Medicine | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2006-04-06 |
| 1568436939 | Lisa L Davidson | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2006-02-14 |
| 1184603193 | Lisa R Davidson | Psychiatry & Neurology | 1230 E Main Street, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2006-01-10 |
| Street Address |
517 WINCHESTER DR |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851691125 | Anna Mcwilliams | Pharmacist | 10909 Cr 8530, West Plains, MO 65775 | 2010-11-02 |
| 1558582064 | Maureen Gaye Vance | Pharmacist | 1100 N. Kentucky, West Plains, MO 65775 | 2007-05-01 |
| 1265653877 | William A Hart | Pharmacist | 8336 County Road 8040, West Plains, MO 65775 | 2007-05-01 |
| 1487730255 | Floyd Wilkening | Pharmacist | 1903 Lexington St, West Plains, MO 65775-1661 | 2006-10-27 |
| 1336237650 | Ozark Compounding, Inc. | Pharmacist | 2500 Independence Sq, West Plains, MO 65775-4234 | 2006-10-11 |
| 1134101009 | Bradford Pharmacy Services Inc | Pharmacist | 307 Kentucky Ave, West Plains, MO 65775 | 2005-11-16 |
| 1427043413 | Missouri Cvs Pharmacy, L.l.c | Pharmacist | 805 N Kentucky Ave, Suite 2, West Plains, MO 65775-2045 | 2005-09-15 |
| 1851991046 | Meghan Thompson | Pharmacist | 1310 Preacher Roe Blvd, West Plains, MO 65775-2998 | 2020-10-28 |
| 1093328023 | Sohad Guirguis | Pharmacist | 1010 Worley Dr, West Plains, MO 65775-5257 | 2020-08-28 |
| 1568075570 | Ashlee Lonon | Pharmacist | 1010 Worley Dr, West Plains, MO 65775-5257 | 2020-08-28 |
| Find all providers in WEST PLAINS | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
Please comment or provide details below to improve the information on DR. LISA RENEE DAVIDSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.