Provider Demographics
NPI:1205283447
Name:DONAHUE, LAUREN KATHERINE (MD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:KATHERINE
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9559 BAY POINT DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-2033
Mailing Address - Country:US
Mailing Address - Phone:480-980-3218
Mailing Address - Fax:
Practice Address - Street 1:811 REDGATE AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1515
Practice Address - Country:US
Practice Address - Phone:757-866-8656
Practice Address - Fax:757-866-7618
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2022-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101272699207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology