Provider Demographics
NPI:1740687482
Name:FRANKE, DEANNA (PHD, DABCC)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:FRANKE
Suffix:
Gender:F
Credentials:PHD, DABCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 SUMNER BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-3235
Mailing Address - Country:US
Mailing Address - Phone:919-256-1098
Mailing Address - Fax:
Practice Address - Street 1:75 REMITTANCE DR
Practice Address - Street 2:DEPT 6601
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60675-6601
Practice Address - Country:US
Practice Address - Phone:877-547-6837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-24
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYFRAND3247ZC0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
34D0952253OtherCLIA