Provider Demographics
NPI:1669829727
Name:LANE, DONIA NEHAR
Entity Type:Individual
Prefix:MRS
First Name:DONIA
Middle Name:NEHAR
Last Name:LANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 COUNTY ROAD 42
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35633-7611
Mailing Address - Country:US
Mailing Address - Phone:256-415-3044
Mailing Address - Fax:
Practice Address - Street 1:885 FLORENCE BLVD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-4870
Practice Address - Country:US
Practice Address - Phone:256-275-7089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst