Provider Demographics
NPI:1750528725
Name:LAFLAMME, DONNA LEE
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:LEE
Last Name:LAFLAMME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:LEE
Other - Last Name:LAFLAMME
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:2110 MARIN AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-2433
Mailing Address - Country:US
Mailing Address - Phone:510-526-6002
Mailing Address - Fax:
Practice Address - Street 1:2110 MARIN AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707-2433
Practice Address - Country:US
Practice Address - Phone:510-526-6002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21735111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation