NPI 1659476737 · live from the CMS NPI Registry
Lacy Dawn Davis Walters, PA-C
Physician Assistant in Helena, MT. National Provider Identifier 1659476737, active.
NPI record
| NPI | 1659476737 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2550 E Broadway St, Helena, MT 59601 |
| Practice phone | 208-724-4410 |
| Mailing address | Po Box 6369, Helena, MT 59604 |
| Enumerated | September 14, 2006 |
| Last updated | April 29, 2021 |
| Sole proprietor | No |
| Other names | Lacy Davis |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | MED-PAC-LIC-26013 (MT) |
| Physician Assistant | 363A00000X | PA-622 (ID) |
| Obstetrics & Gynecology, Gynecology | 207VG0400X | PA622 (ID) |
| Orthopaedic Surgery, Hand Surgery | 207XS0106X | PA622 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.