Provider Demographics
NPI:1851157689
Name:PAKULA, DONNA (LAB DIRECTOR)
Entity Type:Individual
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First Name:DONNA
Middle Name:
Last Name:PAKULA
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Gender:F
Credentials:LAB DIRECTOR
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Mailing Address - Street 1:7199 S KINGERY HWY STE 1080
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-5525
Mailing Address - Country:US
Mailing Address - Phone:815-210-8388
Mailing Address - Fax:815-534-4063
Practice Address - Street 1:1640 PALOMINO LANE
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86406
Practice Address - Country:US
Practice Address - Phone:815-210-8388
Practice Address - Fax:815-534-4063
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy