Provider Demographics
NPI:1417137126
Name:TURNER, DONNA LYNN (LAC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LYNN
Last Name:TURNER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:DONNA
Other - Middle Name:L
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:1611 116TH AVE NE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3045
Mailing Address - Country:US
Mailing Address - Phone:206-947-4973
Mailing Address - Fax:
Practice Address - Street 1:1611 116TH AVE NE
Practice Address - Street 2:SUITE 207
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3045
Practice Address - Country:US
Practice Address - Phone:206-947-4973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00003062171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist