Provider Demographics
NPI:1871818963
Name:FOSTER-LOYND, DONNA
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:FOSTER-LOYND
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 1:10 CABOT RD STE 209
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-5173
Mailing Address - Country:US
Mailing Address - Phone:781-879-8230
Mailing Address - Fax:781-395-0198
Practice Address - Street 1:10 CABOT RD STE 209
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-5173
Practice Address - Country:US
Practice Address - Phone:781-879-8230
Practice Address - Fax:781-395-0198
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator