Provider Demographics
NPI:1174812598
Name:LAWRENCE-CURRY, DONNA JEAN (RN CCP)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:JEAN
Last Name:LAWRENCE-CURRY
Suffix:
Gender:F
Credentials:RN CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1423 N PALM AVE
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-2770
Mailing Address - Country:US
Mailing Address - Phone:951-318-1173
Mailing Address - Fax:
Practice Address - Street 1:1423 N PALM AVE
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-2770
Practice Address - Country:US
Practice Address - Phone:951-318-1173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA504144163W00000X
CA930141242T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist
No163W00000XNursing Service ProvidersRegistered Nurse