Provider Demographics
NPI:1508054677
Name:PLANE, DONNA JAY (LPN)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:JAY
Last Name:PLANE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 SAINT JOHNS PARK
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-4925
Mailing Address - Country:US
Mailing Address - Phone:585-581-1986
Mailing Address - Fax:
Practice Address - Street 1:42 SAINT JOHNS PARK
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14612-4925
Practice Address - Country:US
Practice Address - Phone:585-581-1986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-13
Last Update Date:2007-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY289994164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse